| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL MIDWEST LTD | 6100 S YALE AVENUE STE 1900 TULSA, OK 741361903 | VISION SERVICE PLAN | $2K | $16K | $17K | 32.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCARE SOLUTIONS GROUP, INC EIN 73-1478844 | Plan Administrator Service code 14 | 325 N MAIN STREET MUSKOGEE, OK 74401 | $383K |
| HEALTHCARE HIGHWAYS EIN 27-2072460 | Other services Service code 49 | 1 COWBOYS WAY #290 FRISCO, TX 75034 | $288K |
| HSG CONSOLIDATED EIN 73-1478844 | Other services Service code 49 | 325 N MAIN STREET MUSKOGEE, OK 74401 | $63K |
| PAYER COMPASS EIN 46-2047081 | Claims processing Service code 12 | 5800 GRANITE PKWY #450 PLANO, TX 75024 | $49K |
| HEALTHLINK EIN 43-1364135 | Other services Service code 49 | 1831 CHESTNUT STREET ST. LOUIS, MO 63103 | $9K |
| ZELLIS EIN 86-1040704 | Other services Service code 49 | 744 OFFICE PARKWAY ST. LOUIS, MO 63141 | $560 |
| MULTIPLAN EIN 13-3068979 | Other services Service code 49 | 535 EAST DIEHL ROAD NAPERVILLE, IL 60563 | $135 |
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 | 2,464 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,469 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPANION LIFE (ISU) | 2,464 | $850K |
| Dental | COMPANION LIFE (ISU) | 2,464 | $850K |
| Vision(2 contracts, 2 carriers) | COMPANION LIFE (ISU) | 2,464 | $903K |
| Life insurance | UNUM LIFE INSURANCE | 2,766 | $337K |
| Long-term disability | UNUM LIFE INSURANCE | 2,771 | $412K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,771 | — |
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.