| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 10739 DEERWOOD PARK BLVD STE 200 A919 ROBERT LIVINGSTON JACKSONVILLE, FL 322564839 | BLUE CROSS BLUE SHIELD OF FLORIDA | $270K | $0 | $270K | 4.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL MIDWEST LIMITED | 1591 GALBRAITH AVE SE GRAND RAPIDS, MI 49546 | HARTFORD LIFE AND ACCIDENT | $50K | $20K | $70K | 16.53% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL JACKSONVILLE FL | — | ARMADACARE | $7K | $0 | $7K | 1.91% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 10739 DEERWOOD PARK BLVD STE 200 JACKSONVILLE, FL 322564839 | FLORIDA COMBINED LIFE | $32K | $0 | $32K | 10.09% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL FLORIDA | 10739 DWD PK BLVD STE 200 JACKSONVILLE, FL 322564839 | VISION SERVICE PLAN | $2K | $0 | $2K | 3.49% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | KME INSURANCE BROKERAGE LLC 1430 W POLK ST CHICAGO, IL 606074017 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | $0 | $8K | 20.07% |
| ONE SOURCE BROKERAGE INC3 | 2170 CLEARBROOK RD STE 205 HOOVER, AL 352261673 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 5.86% |
| PINNACLE INS & FINANCIAL SERVICES3 | 12724 GRAN BAY PKWY W STE 150 JACKSONVILLE, FL 322589486 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.98% |
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 | 463 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 471 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 389 | $6.7M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 390 | $7.1M |
| Vision | VISION SERVICE PLAN | 339 | $59K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 697 | $421K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 697 | $421K |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 697 | $459K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 697 | $792K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 697 | — |
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.