| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP, LLC | 14300 N. NORTHSIGHT BLVD, STE 221 SCOTTSDALE, AZ 85260 | BLUE CROSS BLUE SHIELD OF ARIZONA | $0 | $0 | $0 | 0.00% |
| SCOTT WOOD3 | BENEFIT COMMERCE GROUP, SUITE 221 SCOTTSDALE, AZ 852600000 | DELTA DENTAL OF ARIZONA | $7K | — | $7K | 4.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP, LLC | 14300 N. NORTHSIGHT BLVD, STE 221 SCOTTSDALE, AZ 85260 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | $565 | $8K | 11.32% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP, LLC | 14300 N. NORTHSIGHT BLVD, STE 221 SCOTTSDALE, AZ 85260 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $216 | $4K | 15.83% |
| SCOTT WOOD3 | BENEFIT COMMERCE GROUP, SUITE 221 SCOTTSDALE, AZ 85260 | DELTA DENTAL OF ARIZONA | $2K | — | $2K | 9.14% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP, LLC | 14300 N. NORTHSIGHT BLVD, STE 221 SCOTTSDALE, AZ 85260 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $150 | $3K | 15.87% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BENEFIT COMMERCE GROUP, LLC | 14300 N. NORTHSIGHT BLVD, STE 221 SCOTTSDALE, AZ 85260 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $671 | $47 | $718 | 11.23% |
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 | 146 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF ARIZONA | 143 | $398K |
| Dental | DELTA DENTAL OF ARIZONA | 138 | $173K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF ARIZONA | 147 | $420K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 146 | $69K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 26 | $17K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 146 | $26K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF ARIZONA | 143 | $398K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF ARIZONA | 143 | $398K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 146 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 147 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.