| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES | UNKNOWN RIVERSIDE, CA 92128 | CIGNA HELATH AND LIFE INSURANCE COMPANY AND AFFILIATES | $41K | $23K | $64K | 0.39% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES | UNKNOWN RIVERSIDE, CA 92128 | CIGNA HEALTHCARE OF CALIFORNIA | $11K | $0 | $11K | 0.22% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 600 CORPORATE POINTE, FLOOR 4 CULVER CITY, CA 90230 | RELIANCE MATRIX | $32K | $0 | $32K | 6.11% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES INC | PO BOX 2158 RIVERSIDE, CA 92516 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $139K | $12K | $151K | 45.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES | PO BOX 2158 RIVERSIDE, CA 92516 | VISION SERVICE PLAN | $359 | $0 | $359 | 0.17% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES INC | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | UNITEDHEALTHCARE INSURANCE COMPANY | $267 | $0 | $267 | 0.75% |
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 | 1,170 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,184 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | CIGNA HELATH AND LIFE INSURANCE COMPANY AND AFFILIATES | 3,462 | $21.4M |
| Dental(3 contracts, 3 carriers) | CIGNA HELATH AND LIFE INSURANCE COMPANY AND AFFILIATES | 3,462 | $16.3M |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 1,477 | $266K |
| Life insurance(3 contracts, 3 carriers) | RELIANCE MATRIX | 1,495 | $612K |
| Short-term disability | RELIANCE MATRIX | 1,495 | $528K |
| Long-term disability | RELIANCE MATRIX | 1,495 | $528K |
| Prescription drug(2 contracts, 2 carriers) | CIGNA HELATH AND LIFE INSURANCE COMPANY AND AFFILIATES | 3,462 | $21.3M |
| Other(5 contracts, 5 carriers) | CIGNA HELATH AND LIFE INSURANCE COMPANY AND AFFILIATES | 3,462 | $17.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,462 | — |
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."
No prospect flags tripped on this filing.