| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST, LLC | PO BOX 3144 SPOKANE, WA 99220 | REGENCE BLUE SHIELD OF IDAHO | $19K | $0 | $19K | 5.26% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST, LLC | PO BOX 3018 BOTHELL, WA 98041 | DELTA DENTAL OF IDAHO | $6K | $0 | $6K | 2.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| REGENCE BLUE SHIELD OF IDAHO EIN 82-0206874 CLAIMS PROCESSING SERVICE | Consulting (general); Other services; Float revenue; Claims processing; Insurance brokerage commissions and fees; Non-monetary compensation; Direct payment from the plan Service code 12 | 1211 W MYRTLE STREET BOISE, ID 83702 | $222K |
| HUB INTERNATIONAL NORTHWEST EIN 91-2036015 CONSULTANT | Consulting (general) Service code 16 | PO BOX 3108 BOTHELL, WA 98041 | $67K |
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 | 274 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 274 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF IDAHO | 284 | $198K |
| Stop-loss / reinsurancereinsurance | REGENCE BLUE SHIELD OF IDAHO | 276 | $352K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 284 | — |
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."
No prospect flags tripped on this filing.