| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL PUERTO RICO, INC. | 255 AVE PONCE DE LEON MCS PLAZA STE 700 SAN JUAN, PR 00917 | TRIPLE S SALUD, INC. | $23K | — | $23K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL PUERTO RICO, INC | 255 AVE PONCE DE LEON MCS PLAZA STE 700 SAN JUAN, PR 00918 | HUMANA INSURANCE OF PUERTO RICO, INC. | $18K | — | $18K | 5.03% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL PUERTO RICO, INC | 255 AVE PONCE DE LEON MCS PLAZA STE 700 SAN JUAN, PR 00918 | INSPIRA MENTAL HEALTH MANAGEMENT | $95 | — | $95 | 9.98% |
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 | 132 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | TRIPLE S SALUD, INC. | 132 | $836K |
| Dental(2 contracts, 2 carriers) | TRIPLE S SALUD, INC. | 132 | $836K |
| Life insurance(2 contracts, 2 carriers) | TRIPLE S SALUD, INC. | 132 | $836K |
| Prescription drug(2 contracts, 2 carriers) | TRIPLE S SALUD, INC. | 132 | $836K |
| Other | INSPIRA MENTAL HEALTH MANAGEMENT | 170 | $952 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 170 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.