| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 4371 LATHAM STREET #101 RIVERSIDE, CA 92501 | AETNA LIFE INSURANCE CO | $189K | — | $189K | 2.31% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 3390 UNIVERSITY AVE SUITE 300 RIVERSIDE, CA 92501 | AETNA LIFE INSURANCE CO | $20K | — | $20K | 0.24% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 4371 LATHAM STREET #101 RIVERSIDE, CA 92501 | AETNA HEALTH, INC. | $99K | $56K | $155K | 3.75% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 3390 UNIVERSITY AVE SUITE 300 RIVERSIDE, CA 92501 | AETNA HEALTH, INC. | $9K | — | $9K | 0.22% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 3390 UNIVERSITY AVE SUITE 300 RIVERSIDE, CA 92501 | STANDARD INSURANCE COMPANY | $8K | — | $8K | 0.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 3390 UNIVERSITY AVE SUITE 300 RIVERSIDE, CA 92501 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 0.52% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 180 RIVER ROAD 2ND FL SUMMIT, NJ 07901 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 0.48% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 3390 UNIVERSITY AVE SUITE 300 RIVERSIDE, CA 92501 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 1.83% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 3390 UNIVERSITY AVE SUITE 300 RIVERSIDE, CA 92501 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 0.88% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | PO BOX 5345 RIVERSIDE, CA 92517 | VISION SERVICE PLAN | $3K | — | $3K | 1.89% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 3390 UNIVERSITY AVE SUITE 300 RIVERSIDE, CA 92501 | STANDARD INSURANCE COMPANY | $887 | — | $887 | 0.59% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L INSURANCE SERVICES, INC. | 3390 UNIVERSITY AVE SUITE 300 RIVERSIDE, CA 92501 | STANDARD INSURANCE COMPANY | $736 | — | $736 | 0.85% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 846 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 156 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,002 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO | 1,280 | $8.2M |
| Dental | STANDARD INSURANCE COMPANY | 844 | $1.1M |
| Vision | VISION SERVICE PLAN | 835 | $166K |
| Life insurance | STANDARD INSURANCE COMPANY | 1,113 | $252K |
| Short-term disability | STANDARD INSURANCE COMPANY | 467 | $86K |
| Long-term disability | STANDARD INSURANCE COMPANY | 843 | $150K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,280 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.