| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS | 7770 JEFFERSON NE STE 200 ALBUQUERQUE, NM 87109 | BLUE CROSS BLUE SHIELD OF NEW MEXICO | $81K | — | $81K | 4.78% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS | 2375 E. CAMELBACK RD PHOENIX, AZ 85016 | DELTA DENTAL OF NEW MEXICO | $7K | — | $7K | 4.88% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS | 7770 JEFFERSON NE STE 200 ALBUQUERQUE, NM 87109 | HARTFORD LIFE AND ACCIDENT | $22K | — | $22K | 16.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS | 7770 JEFFERSON NE STE 200 ALBUQUERQUE, NM 87109 | HARTFORD LIFE AND ACCIDENT | — | $3K | $3K | 2.37% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL MIDWEST LIMITED | 832 NIAGARA AVE SHEBOYGAN, WI 53081 | HARTFORD LIFE AND ACCIDENT | — | $3K | $3K | 2.03% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC | PO BOX 844663 DALLAS, TX 752844663 | VISION SERVICE PLAN | $2K | — | $2K | 4.58% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS | 7770 JEFFERSON ST NE STE 200 ALBUQUERQUE, NM 87109 | HARTFORD LIFE AND ACCIDENT | $796 | — | $796 | 17.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS | 7770 JEFFERSON ST NE STE 200 ALBUQUERQUE, NM 87109 | HARTFORD LIFE AND ACCIDENT | — | $241 | $241 | 5.15% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL MIDWEST LIMITED | 832 NIAGARA AVE SHEBOYGAN, WI 53081 | HARTFORD LIFE AND ACCIDENT | — | $99 | $99 | 2.11% |
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 | 467 | 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) | 467 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NEW MEXICO | 467 | $1.7M |
| Dental | DELTA DENTAL OF NEW MEXICO | 461 | $143K |
| Vision | VISION SERVICE PLAN | 191 | $34K |
| Life insurance(2 contracts) | HARTFORD LIFE AND ACCIDENT | 109 | $141K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 82 | $137K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 82 | $137K |
| Other(2 contracts) | HARTFORD LIFE AND ACCIDENT | 109 | $141K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 467 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.