| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 271 W CANTON AVE WINTER PARK, FL 32789 | HEALTH OPTIONS, INC. | $49K | $0 | $49K | 6.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 271 W CANTON AVE WINTER PARK, FL 32789 | BLUE CROSS BLUE SHIELD OF FLORIDA | $14K | $0 | $14K | 6.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 2811 NW 41ST ST STE A GAINSVILLE, FL 32606 | STANDARD INSURANCE COMPANY | $6K | $2K | $8K | 10.87% |
| VISION HR AGENCY INC3 | 347 SOUTH RIDGEWOOD AVE DAYTONA BEACH, FL 32114 | STANDARD INSURANCE COMPANY | $1K | $0 | $1K | 1.62% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 2811 NW 41ST STE A GAINESVILLE, FL 32606 | STANDARD INSURANCE COMPANY | $6K | $4K | $10K | 13.74% |
| VISION HR AGENCY INC3 | 347 SOUTH RIDGEWOOD AVE DAYTONA BEACH, FL 32114 | STANDARD INSURANCE COMPANY | $1K | $0 | $1K | 1.42% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 2811 NW 41ST STE A GAINESVILLE, FL 32606 | STANDARD INSURANCE COMPANY | $2K | $2K | $4K | 14.08% |
| VISION HR AGENCY INC3 | 347 SOUTH RIDGEWOOD AVE DAYTONA BEACH, FL 32114 | STANDARD INSURANCE COMPANY | $413 | $0 | $413 | 1.45% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 2811 NW 41ST STE A GAINESVILLE, FL 32606 | STANDARD INSURANCE COMPANY | $9K | $1K | $10K | 41.58% |
| VISION HR AGENCY INC3 | 347 SOUTH RIDGEWOOD AVE DAYTONA BEACH, FL 32114 | STANDARD INSURANCE COMPANY | $25 | $0 | $25 | 0.10% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 125 S WACKER DR STE 300 CHICAGO, IL 60606 | STANDARD INSURANCE COMPANY | $7 | $6 | $13 | 0.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 10368 W STATE ROAD 84 SUITE 201 DAVIE, FL 33324 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 9.52% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 5600 NEW KING DR STE 210 TROY, MI 48098 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $247 | $247 | 1.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 2811 NW 41ST STE A GAINESVILLE, FL 32606 | STANDARD INSURANCE COMPANY | $1K | $379 | $2K | 11.10% |
| VISION HR AGENCY INC3 | 347 SOUTH RIDGEWOOD AVE DAYTONA BEACH, FL 32114 | STANDARD INSURANCE COMPANY | $220 | — | $220 | 1.52% |
| COOPER SIMS NELSON & MOSLEY INC3 | 1560 ORANGE AVE STE 750 WINTER PARK, FL 32789 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $98 | $0 | $98 | 1.45% |
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 | 209 | 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) | 209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH OPTIONS, INC. | 93 | $1.1M |
| Dental | STANDARD INSURANCE COMPANY | 220 | $76K |
| Vision | STANDARD INSURANCE COMPANY | 129 | $15K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 209 | $90K |
| Short-term disability | STANDARD INSURANCE COMPANY | 47 | $29K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH OPTIONS, INC. | 93 | $1.1M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 220 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 220 | — |
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.