| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 3635 RIVERSIDE PLAZA DRIVE BUILDING M3 RIVERSIDE, CA 92506 | UNITEDHEALTHCARE INSURANCE COMPANY | $54K | $0 | $54K | 3.46% |
| 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 | $29K | $5K | $34K | 12.66% |
| RON KLEIMAN3 | 4322 RFD LONG GROVE, IL 60047 | TRUSTMARK INSURANCE COMPANY | $5K | $0 | $5K | 18.42% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 4371 LATHAM STREET SUITE 101 RIVERSIDE, CA 92501 | TRUSTMARK INSURANCE COMPANY | $1K | $0 | $1K | 5.10% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 43714 LATHAM STREET SUITE 101 RIVERSIDE, CA 92501 | TRUSTMARK INSURANCE COMPANY | $765 | $0 | $765 | 2.83% |
| BENEFIT SERVICE CENTER3 | 9500 TOPANGA CANYON BOULEVARD CHATSWORTH, CA 91311 | TRUSTMARK INSURANCE COMPANY | $653 | $0 | $653 | 2.42% |
| BENEFIT SERVICE CENTER3 | 9500 TOPANGA CANYON BOULEVARD CHATSWORD, CA 91311 | TRUSTMARK INSURANCE COMPANY | $420 | $0 | $420 | 1.55% |
| BENEFITVISION3 | 2690 COMMERCE DRIVE SUITE 200 HARRISBURG, PA 17110 | TRUSTMARK INSURANCE COMPANY | $198 | $0 | $198 | 0.73% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 30601 AGOURA ROAD SUITE 200 AGOURA HILLS, CA 91301 | UNITED BEHAVIORAL HEALTH | $352 | $4K | $4K | — |
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 | 775 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 783 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 2,146 | $1.6M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 2,146 | $1.6M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 2,146 | $1.6M |
| Life insurance(2 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,034 | $298K |
| Short-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,034 | $271K |
| Long-term disability | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,034 | $271K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 2,146 | $1.6M |
| Other(3 contracts, 3 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,034 | $298K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,146 | — |
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.