| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATONAL TEXAS INC | 10000 NORTH CENTRAL EXPRESSWAY SUITE 1200 DALLAS, TX 75231 | MUTUAL OF OMAHA INSURANCE COMPANY | $208K | $85K | $293K | 23.80% |
| FMLASOURCE INC5 | 455 NORTH CITYFRONT PLAZA DRIVE 13TH FLOOR CHICAGO, IL 60611 | MUTUAL OF OMAHA INSURANCE COMPANY | $0 | $55K | $55K | 4.43% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATONAL TEXAS INC | 10000 NORTH CENTRAL EXPRESSWAY SUITE 1200 DALLAS, TX 75231 | METRPOLITAN LIFE INSURANCE COMPANY | $49K | $45 | $49K | 8.44% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS. | 3221 COLLINSWORTH STREET FORT WORTH, TX 76107 | METRPOLITAN LIFE INSURANCE COMPANY | $0 | $3K | $3K | 0.54% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC | 425 ASHLEY RIDGE, SUITE 230 SHREVPORT, LA 71106 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $26K | $0 | $26K | 5.09% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATONAL TEXAS INC | 700 NORTH PEARL STREET, SUITE N1700 DALLAS, IL 75201 | RELIASTAR LIFE INSURANCE COMPANY | $136K | $0 | $136K | 30.97% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BOULEVARD SUITE 14A CHICAGO, IL 60604 | RELIASTAR LIFE INSURANCE COMPANY | $0 | $14K | $14K | 3.16% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATONAL TEXAS INC | 201 EAST MAIN STREET, SUITE 800 EL PASO, TX 79901 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $18K | $0 | $18K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATONAL TEXAS INC | UNKNOWN SYKESVILLE, MD 21784 | COMBINED INSURANCE | $39 | $0 | $39 | 8.25% |
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 | 1,721 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,724 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 53 | $503K |
| Dental | METRPOLITAN LIFE INSURANCE COMPANY | 2,574 | $577K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 1,469 | $180K |
| Life insurance | MUTUAL OF OMAHA INSURANCE COMPANY | 1,119 | $1.2M |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 1,119 | $1.2M |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 1,119 | $1.2M |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF COLORADO | 53 | $503K |
| Other(2 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 2,452 | $439K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,574 | — |
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.