| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | BLUE CROSS BLUE SHIELD OF OKLAHOMA | $0 | $34K | $34K | 4.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | GUARDIAN LIFE INSURANCE COMPANY | $72K | $16K | $88K | 16.75% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | VISION SERVICE PLAN | — | $10K | $10K | 9.97% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS A DIVISION OF HUB INTERNATIONAL | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 14.87% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS A DIVISION OF HUB INTERNATIONAL | 6100 S YALE AVE TULSA, OK 74136 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 14.76% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HUB INTERNATIONAL MID-AMERICA EIN 35-0672425 | Insurance agents and brokers Service code 22 | 2118 N TYLER ROAD BLDG C WICHITA, KS 67212 | $77K |
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 | 752 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 762 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS INC | 587 | $0 |
| Vision | VISION SERVICE PLAN | 542 | $95K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY | 728 | $527K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY | 728 | $527K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY | 728 | $527K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF OKLAHOMA | 1,126 | $820K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 13 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,126 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.