| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS | 7770 JEFFERSON NE SUITE 101 ALBUQUERQUE, NM 87109 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $48K | — | $48K | 9.85% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS | 580 N BANK LN STE 101 LAKE FOREST, IL 60045 | DELTA DENTAL OF NEW MEXICO INC. | $7K | — | $7K | 5.29% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVC | 7770 JEFFERSON NE SUITE 101 ALBUQUERQUE, NM 87109 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $5K | $8K | 10.94% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVC | 7770 JEFFERSON NE SUITE 101 ALBUQUERQUE, NM 87109 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $3K | $7K | 15.17% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVC | 7770 JEFFERSON NE SUITE 101 ALBUQUERQUE, NM 87109 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $2K | $5K | 14.87% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS | PO BOX 844663 DALLAS, TX 752844663 | VISION SERVICE PLAN | $1K | — | $1K | 5.03% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVC | 7770 JEFFERSON NE SUITE 101 ALBUQUERQUE, NM 87109 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $376 | $59 | $435 | 11.57% |
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 | 179 | 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) | 179 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 224 | $490K |
| Dental | DELTA DENTAL OF NEW MEXICO INC. | 302 | $138K |
| Vision | VISION SERVICE PLAN | 170 | $21K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 179 | $72K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 179 | $36K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 101 | $48K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 224 | $490K |
| Other(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 179 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 302 | — |
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.