| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $18K | $7K | $25K | 20.72% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | $4K | $14K | 20.87% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $3K | $10K | 20.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $6K | 15.73% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 25.52% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | MEDICAL AIR SERVICES ASSOCIATION, INC. | $3K | — | $3K | 19.63% |
| MASA AGENT3 | 1250 SOUTH PINE ISLAND ROAD SUITE 500 PLANTATION, FL 33324 | MEDICAL AIR SERVICES ASSOCIATION, INC. | $1K | — | $1K | 7.87% |
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 | 958 | 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) | 958 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 621 | $3.5M |
| Dental | HEALTH CARE SERVICE CORPORATION | 621 | $3.5M |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 319 | $41K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 958 | $112K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 958 | $120K |
| Other(4 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 958 | $150K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 958 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.