| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 1350 SOUTH BOULDER AVENUE SUITE 1000 TULSA, OK 74119 | DELTA DENTAL | $5K | — | $5K | 4.00% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: THE HOLMES ORGANIZATION, INC. | 1350 SOUTH BOULDER AVENUE SUITE 1000 TULSA, OK 74119 | DELTA DENTAL | $5K | — | $5K | 4.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 1350 SOUTH BOULDER AVENUE SUITE 1000 TULSA, OK 74119 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 10.10% |
| THE HOLMES ORGANISATION3 Filed as: THE HOLMES ORGANISATION, INC. | PO BOX 1440 TULSA, OK 74101 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $303 | $3K | 6.23% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 16253 COLLECTION CENTER DRIVE CHICAGO, IL 60693 | METROPOLITAN LIFE INSURANCE COMPANY | — | $314 | $314 | 0.62% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 1350 SOUTH BOULDER AVENUE SUITE 1000 TULSA, OK 74119 | VISION SERVICE PLAN | $1K | — | $1K | 4.11% |
| THE HOLMES ORGANISATION3 Filed as: THE HOLMES ORGANISATION, INC. | 1350 SOUTH BOULDER AVENUE SUITE 1000 TULSA, OK 74119 | VISION SERVICE PLAN | $152 | — | $152 | 0.49% |
| THE HOLMES ORGANISATION3 Filed as: THE HOLMES ORGANISATION, INC. | 1350 SOUTH BOULDER, SUITE 1000 TULSA, OK 74119 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 5.00% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION ONE INSURANCE SERVICES | 15280 ADDISON ROAD, SUITE 250 ADDISON, TX 75001 | AMERICAN FIDELITY ASSURANCE COMPANY | $729 | — | $729 | 3.50% |
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 | 450 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 453 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICAN FIDELITY ASSURANCE COMPANY | 23 | $21K |
| Dental | DELTA DENTAL | 253 | $123K |
| Vision | VISION SERVICE PLAN | 256 | $31K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 616 | $51K |
| Prescription drug | AMERICAN FIDELITY ASSURANCE COMPANY | 23 | $21K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 616 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 616 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.