| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | KAISER FOUNDATION HEALTH PLAN INC | $312K | $10K | $321K | 4.89% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 55 EAST JACKSON BOULEVARD 14TH FLOOR A CHICAGO, IL 60604 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $42K | $62K | $104K | 2.94% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | HUB INTERNATIONAL GULF METAIRIE, LA 70002 | MONY LIFE INSURANCE COMPANY OF AMERICA | $18K | $0 | $18K | 1.12% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | UNKNOWN CHICAGO, IL 60654 | ALPHA DENTAL PROGRAMS, INC. | $12K | $0 | $12K | 4.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | UNKNOWN CHICAGO, IL 60654 | DELTA DENTAL OF ILLINOIS | $119K | $0 | $119K | 41.88% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 6650 METAIRIE, LA 70009 | HYATT LEGAL PLANS | $9K | $0 | $9K | 8.29% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 15162 COLLECTION CENTER DRIVE CHICAGO, IL 60693 | HYATT LEGAL PLANS | $3K | $0 | $3K | 2.68% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 55 EAST JACKSON BOULEVARD CHICAGO, IL 60604 | HYATT LEGAL PLANS | $0 | $1K | $1K | 1.27% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 844501 DALLAS, TX 75284 | HYATT LEGAL PLANS | $0 | $331 | $331 | 0.30% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 1350 SOUTH BOULDER AVENUE SUITE 1000 TULSA, OK 74119 | HYATT LEGAL PLANS | $0 | $163 | $163 | 0.15% |
| KAYE INSURANCE ASSOCIATES INC3 Filed as: KAYE INSURANCE ASSOCIATES, INC. | 100 SUNNYSIDE BOULEVARD WOODBURY, NY 11797 | HYATT LEGAL PLANS | $0 | $55 | $55 | 0.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 55 EAST JACKSON BOULEVARD SUITE 1200 CHICAGO, IL 60604 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $5K | $0 | $5K | 15.00% |
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 | 7,250 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 134 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 72 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,456 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 783 | $6.6M |
| Dental(2 contracts, 2 carriers) | ALPHA DENTAL PROGRAMS, INC. | 4,758 | $579K |
| Vision | VISION SERVICE PLAN | 4,572 | $609K |
| Life insurance | MONY LIFE INSURANCE COMPANY OF AMERICA | 7,250 | $1.6M |
| Short-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 7,150 | $3.5M |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 7,150 | $3.5M |
| Prescription drug(2 contracts, 2 carriers) | RXBENEFITS, INC. | 5,131 | $19.4M |
| Other(6 contracts, 6 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 7,250 | $5.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,250 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.