| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 2000 SOUTH COLORADO BOULEVARD TOWER 2, SUITE 150 DENVER, CO 80222 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 3635 RIVERSIDE PLAZA DRIVE BUILDING M3, SUITE 320 RIVERSIDE, CA 92506 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $755 | $755 | 1.71% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $21 | $21 | 0.05% |
| MARY ALVARADO3 | 16522 GILPIN STREET THORNTON, CO 80602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 8.96% |
| MARC JENKINS3 | 336 EAST 52ND AVENUE DENVER, CO 80216 | CONTINENTAL AMERICAN INSURANCE COMPANY | $347 | $0 | $347 | 2.34% |
| SUSAN C BANKS3 Filed as: SUSAN C. BANKS | 604 WILLOW BROOKE ROAD SILVERTHORNE, CO 80498 | CONTINENTAL AMERICAN INSURANCE COMPANY | $338 | $0 | $338 | 2.28% |
| JAMES J SCHAMBER3 Filed as: JAMES J. SCHAMBER | 5700 EAST FRANKLIN ROAD SUITE 110 NAMPA, ID 83687 | CONTINENTAL AMERICAN INSURANCE COMPANY | $275 | $0 | $275 | 1.86% |
| MJ INSURANCE3 Filed as: SCOTT STORJOHANN & VARIOUS AGENTS | 10110 EATON STREET WESTMINSTER, CO 80020 | CONTINENTAL AMERICAN INSURANCE COMPANY | $204 | $0 | $204 | 1.38% |
| SCOTT G GOFF3 | 12311 COLBY CIRCLE TYLER, TX 75707 | CONTINENTAL AMERICAN INSURANCE COMPANY | $140 | $0 | $140 | 0.95% |
| TIMOTHY B ASBY3 Filed as: TIMOTHY B. ASBY | 9247 NORTH MERIDIAN STREET SUITE 205 INDIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $65 | $0 | $65 | 0.44% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | VISION SERVICE PLAN | $761 | $0 | $761 | 7.61% |
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 | 120 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 81 | $10K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 120 | $44K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 120 | $44K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 120 | $44K |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 120 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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.