| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | UNUM LIFE INSURANCE | $44K | $3K | $47K | 11.04% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL MIDWEST LTD | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | VISION SERVICE PLAN | $2K | — | $2K | 3.40% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCARE SOLUTIONS GROUP, INC EIN 73-1478844 | Plan Administrator Service code 14 | 325 N MAIN ST MUSKOGEE, OK 74401 | $346K |
| ZELLIS EIN 86-1040704 | Other services Service code 49 | 744 OFFICE PARKWAY ST LOUIS, MO 63141 | $136K |
| HSG CONSOLIDATED EIN 73-1478844 | Other services Service code 49 | 325 N MAIN STREET MUSKOGEE, OK 74401 | $57K |
| PAYER COMPASS EIN 46-2047081 | Claims processing Service code 12 | 5800 GRANITE PKWY #450 PLANO, TX 75024 | $45K |
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 | 2,078 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,090 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 467 | $46K |
| Life insurance(3 contracts, 2 carriers) | COMPANION LIFE (ISU) | 2,248 | $1.1M |
| Short-term disability | UNUM LIFE INSURANCE | 2,233 | $425K |
| Long-term disability(2 contracts) | UNUM LIFE INSURANCE | 2,248 | $720K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,248 | — |
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."
No prospect flags tripped on this filing.