| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCES | 2375 E CAMELBACK RD SUITE 250 PHOENIX, AZ 85016 | PRESBYTERIAN INSURANCE INC | $36K | — | $36K | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCES | 2375 E CAMELBACK RD SUITE 250 PHOENIX, AZ 85016 | DELTA DENTAL OF NEW MEXICO | $6K | — | $6K | 5.27% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCES | PO BOX 2158 RIVERSIDE, CA 92516 | THE LINCOLN LIFE INSURANCE COMPANY | $17K | $3K | $20K | 18.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCES | PO BOX 2158 RIVERSIDE, CA 92516 | THE LINCOLN LIFE INSURANCE COMPANY | $3K | $2K | $6K | 7.44% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCES | PO BOX 2158 RIVERSIDE, CA 92516 | THE LINCOLN LIFE INSURANCE COMPANY | $6K | $921 | $7K | 23.15% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCES | PO BOX 2158 RIVERSIDE, CA 92516 | THE LINCOLN LIFE INSURANCE COMPANY | $2K | $360 | $2K | 17.94% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCES | PO BOX 2158 RIVERSIDE, CA 92516 | THE LINCOLN LIFE INSURANCE COMPANY | $355 | $59 | $414 | 23.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL OF NEW MEXICO EIN 85-0224562 CONTRAT ADMIN | Claims processing Service code 12 | — | $7K |
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. |
| Total participants (= "Plan participants" tile) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PRESBYTERIAN INSURANCE INC | 117 | $1.2M |
| Dental | DELTA DENTAL OF NEW MEXICO | 251 | $113K |
| Life insurance(3 contracts) | THE LINCOLN LIFE INSURANCE COMPANY | 120 | $106K |
| Long-term disability | THE LINCOLN LIFE INSURANCE COMPANY | 120 | $110K |
| Other(3 contracts) | THE LINCOLN LIFE INSURANCE COMPANY | 120 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 251 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.