| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC. | 425 ASHLEY RIDGE, SUITE 230 SHREVPORT, LA 71106 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $33K | $0 | $33K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 700 NORTH PEARL STREET, SUITE N1700 DALLAS, TX 75201 | STARMOUNT LIFE INSURANCE COMPANY | $61K | $0 | $61K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL TEXAS INC. | 10000 NORTH CENTRAL EXPRESSWAY SUITE 1100 DALLAS, TX 75231 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $99K | $0 | $99K | 19.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC. | 421 WEST 3RD STREET, SUITE 800 FORT WORTH, TX 76102 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $27K | $27K | 5.10% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC. | 10000 NORTH CENTRAL EXPRESSWAY SUITE 1100 DALLAS, TX 75231 | COMBINED INSURANCE | $125K | $0 | $125K | 25.95% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 700 NORTH PEARL STREET, SUITE N1700 DALLAS, TX 75201 | COMBINED INSURANCE | $79K | $0 | $79K | 16.32% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL TEXAS INC. | 10000 NORTH CENTRAL EXPRESSWAY SUITE 1100 DALLAS, TX 75231 | MUTUAL OF OMAHA INSURANCE COMPANY | $63K | $0 | $63K | 19.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC. | 421 WEST 3RD STREET, SUITE 800 FORT WORTH, TX 76102 | MUTUAL OF OMAHA INSURANCE COMPANY | $0 | $17K | $17K | 5.13% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 700 NORTH PEARL STREET, SUITE N1700 DALLAS, TX 75201 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $16K | $0 | $16K | 10.00% |
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 | 1,500 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,500 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 88 | $661K |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 1,500 | $608K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 1,369 | $157K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 960 | $521K |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 1,159 | $329K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 960 | $521K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 88 | $661K |
| Other | COMBINED INSURANCE | 787 | $481K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,500 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.