| 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 | $5K | $0 | $5K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 3635 RIVERSIDE PLAZA DRIVE SUITE 300 RIVERSIDE, CA 92506 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 6.26% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $25 | $25 | 0.05% |
| MARY ALVARADO3 | 16522 GILPIN STREET, SUITE 300 ENGLEWOOD, CA 80602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 11.08% |
| MJ INSURANCE3 Filed as: MARC JENKINS AND VARIOUS AGENTS | 3830 EAST JEWELL AVENUE, SUITE 403 DENVER, CO 80210 | CONTINENTAL AMERICAN INSURANCE COMPANY | $406 | $0 | $406 | 2.45% |
| LINDSAY A LIJEWSKI3 Filed as: LINDSAY A. LLJEWSKI | 6500 SOUTH QUEBEC STREET, SUITE 250 CENTENNIAL, CO 80111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $391 | $0 | $391 | 2.36% |
| DAYTON LLC3 Filed as: DAYTON, LLC | 5445 DTC PARKWAY, SUITE 1036 GREENWOOD VILLAGE, CO 80111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $228 | $0 | $228 | 1.38% |
| SUSAN C BANKS3 Filed as: SUSAN C. BANKS | 604 WILLOWBROOKE ROAD SILVERTHORNE, CO 80498 | CONTINENTAL AMERICAN INSURANCE COMPANY | $198 | $0 | $198 | 1.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 1125 17TH STREET, SUITE 900 DENVER, CO 80202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $135 | $0 | $135 | 0.81% |
| JAMES J SCHAMBER3 Filed as: JAMES J. SCHAMBER | 5700 EAST FRANKLIN ROAD, SUITE 110 NAMPA, ID 83687 | CONTINENTAL AMERICAN INSURANCE COMPANY | $126 | $0 | $126 | 0.76% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 2158 RIVERSIDE, CA 92516 | VISION SERVICE PLAN | $761 | $0 | $761 | 7.40% |
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 | 136 | 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) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 83 | $10K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 136 | $49K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 136 | $49K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 136 | $49K |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 136 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 136 | — |
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.