| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S. YALE AVE SUITE 1900 TULSA, OK 74136 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $8K | — | $8K | 0.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | DBA HUB INTERNAT 2487 CEDARCREST RD. SUITE 122 ACWORTH, GA 30101 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | $107K | — | $107K | 2.17% |
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 | 9,828 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 174 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 10,002 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 1,392 | $20.6M |
| Dental | DELTA DENTAL | 11,319 | $4.6M |
| Vision | VISION SERVICE PLAN | 11,622 | $445K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 11,973 | $2.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11,973 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.