| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $20K | $0 | $20K | 9.88% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE | UNKNOWN LIVINGSTON, NJ 07039 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $0 | $5K | $5K | 2.40% |
| BENEFITVISION3 | 2690 COMMERCE DRIVE, SUITE 200 HARRISBURG, PA 17110 | TRUSTMARK INSURANCE COMPANY | $40K | $0 | $40K | 24.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | TRUSTMARK INSURANCE COMPANY | $22K | $0 | $22K | 13.24% |
| BENEFIT SERVICE CENTER3 Filed as: BENEFIT SERVICE CENTER INC | 9500 TOPANGA CANYON BOULEVARD CHATSWORTH, CA 91311 | TRUSTMARK INSURANCE COMPANY | $11K | $0 | $11K | 6.62% |
| RONALD M KLEIMAN3 | 4522 RFD LONG GROVE, IL 60047 | TRUSTMARK INSURANCE COMPANY | $121 | $0 | $121 | 0.07% |
| BENEFITVISION3 | 2690 COMMERCE DRIVE, SUITE 200 HARRISBURG, PA 17110 | TRUSTMARK INSURANCE COMPANY | $17K | $0 | $17K | 16.64% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | TRUSTMARK INSURANCE COMPANY | $10K | $0 | $10K | 9.13% |
| BENEFIT SERVICE CENTER3 Filed as: BENEFIT SERVICE CENTER INC | 9500 TOPANGA CANYON BOULEVARD CHATSWORTH, CA 91311 | TRUSTMARK INSURANCE COMPANY | $5K | $0 | $5K | 4.56% |
| RONALD M KLEIMAN3 | 4522 RFD LONG GROVE, IL 60047 | TRUSTMARK INSURANCE COMPANY | $92 | $0 | $92 | 0.09% |
| BENEFITVISION3 | 2690 COMMERCE DRIVE, SUITE 200 HARRISBURG, PA 17110 | TRUSTMARK INSURANCE COMPANY | $17K | $0 | $17K | 23.79% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | TRUSTMARK INSURANCE COMPANY | $9K | $0 | $9K | 13.02% |
| BENEFIT SERVICE CENTER3 Filed as: BENEFIT SERVICE CENTER INC | 9500 TOPANGA CANYON BOULEVARD CHATSWORTH, CA 91311 | TRUSTMARK INSURANCE COMPANY | $5K | $0 | $5K | 6.51% |
| RONALD M KLEIMAN3 | 4522 RFD LONG GROVE, IL 60047 | TRUSTMARK INSURANCE COMPANY | $52 | $0 | $52 | 0.07% |
| UNKNOWN3 | UNKNOWN EMERYVILLE, CA 94608 | CIGNA BEHAVIORAL HEALTH, INC. | $3K | $0 | $3K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CALIFORNIA | 3635 RIVERSIDE PLAZA DRIVE BUILDING M3, SUITE 320 RIVERSIDE, CA 92503 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CALIFORNIA | 3635 RIVERSIDE PLAZA DRIVE BUILDING M3, SUITE 320 RIVERSIDE, CA 92503 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CALIFORNIA | 3635 RIVERSIDE PLAZA DRIVE BUILDING M3, SUITE 320 RIVERSIDE, CA 92503 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $560 | $0 | $560 | 10.00% |
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 | 984 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 984 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 903 | $202K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 903 | $202K |
| Life insurance(2 contracts, 2 carriers) | TRUSTMARK INSURANCE COMPANY | 984 | $186K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 984 | $19K |
| Other(4 contracts, 3 carriers) | TRUSTMARK INSURANCE COMPANY | 3,260 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,260 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.