| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 1125 17TH STREET, SUITE 900 DENVER, CO 80202 | UNITEDHEALTHCARE INSURANCE COMPANY | $50K | $3K | $53K | 4.27% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 1125 17TH STREET, SUITE 900 DENVER, CO 80202 | STANDARD INSURANCE COMPANY | $7K | $2K | $8K | 7.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 180 RIVER ROAD, 2ND FLOOR SUMMIT, NJ 07901 | STANDARD INSURANCE COMPANY | — | $2K | $2K | 1.89% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 1125 17TH STREET, SUITE 900 DENVER, CO 80202 | DELTA DENTAL OF COLORADO | $5K | — | $5K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 1125 17TH STREET, SUITE 900 DENVER, CO 80202 | AFLAC | $935 | — | $935 | 8.58% |
| JERERMY EANES3 | 21729 EAST MERCER PLACE AURORA, CO 80018 | AFLAC | $270 | — | $270 | 2.48% |
| JENNIFER L FOSS3 Filed as: JENNIFER L. FOSS | 9034 EAST EASTER PLACE, SUITE 202 CENTENNIAL, CO 80112 | AFLAC | $136 | — | $136 | 1.25% |
| REGINA K SANTANGELO3 Filed as: REGINA K. SANTANGELO | 9034 EAST EASTER PLACE, SUITE 202 CENTENNIAL, CO 80112 | AFLAC | $85 | — | $85 | 0.78% |
| LINDSAY A LIJEWSKI3 Filed as: LINDSAY A. LIJEWSKI | 9034 EAST EASTER PLACE, SUITE 202 CENTENNIAL, CO 80112 | AFLAC | $60 | — | $60 | 0.55% |
| JENNIFER L FREEMAN3 Filed as: JENNIFER L. FREEMAN | 7672 CHARING COURT CASTLE ROCK, CO 80109 | AFLAC | $17 | — | $17 | 0.16% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 1125 17TH STREET, SUITE 900 DENVER, CO 80202 | NEWBENEFITS | $130 | — | $130 | 13.36% |
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 | 191 | 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) | 191 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 245 | $1.2M |
| Dental | DELTA DENTAL OF COLORADO | 0 | $107K |
| Vision | EYEMED VISION CARE | 175 | $11K |
| Life insurance | STANDARD INSURANCE COMPANY | 1,991 | $119K |
| Short-term disability | AFLAC | 21 | $11K |
| Long-term disability | STANDARD INSURANCE COMPANY | 1,991 | $119K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 245 | $1.2M |
| Other | STANDARD INSURANCE COMPANY | 1,991 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,991 | — |
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.