| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KEELER & ASSOCIATES3 Filed as: KEELER AND ASSOCIATES INC | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | $0 | $22K | 11.88% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES INC | PO BOX 2158 RIVERSIDE, CA 92516 | METROPOLITAN LIFE INSURANCE COMPANY | $16K | $1K | $18K | 9.61% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CLARENCE GALLAGHER | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.19% |
| SHAWN J KEELER3 Filed as: SHAWN KELLER | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES | 75W TOWNE RIDGE PARKWAY TOWER 2, SUITE 400 SANDY, UT 84070 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $18K | $5K | $23K | 21.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES | 75W TOWNE RIDGE PARKWAY TOWER 2, SUITE 400 SANDY, UT 84070 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $13K | $4K | $17K | 20.98% |
| DOUG KEELER4 | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $4K | $0 | $4K | 10.95% |
| HUB INTERNATIONAL MIDWEST LIMITED4 Filed as: HUB INTERNATIONAL INSURANCE | PO BOX 2158 RIVERSIDE, CA 92516 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $673 | $0 | $673 | 2.08% |
| ACRISURE LLC4 Filed as: ORION PARKER | 65 NORTH 100 WEST HURRICANE, UT 84737 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $519 | $0 | $519 | 1.61% |
| HIGH POINT ALLIANCE4 | 119 EAST BIRCHBROOK CIRCLE COTTONWOOD HEIGHTS, UT 84047 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $397 | $0 | $397 | 1.23% |
| ARJUN JOSHI4 | 3361 OSELOT WAY RANCHO CORDOVA, CA 95670 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $82 | $0 | $82 | 0.25% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES INC | PO BOX 2158 RIVERSIDE, CA 92516 | FIRST STOP HEALTH, LLC | $1K | $0 | $1K | 9.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES INC | 75W TOWNE RIDGE PARKWAY TOWER 2, SUITE 400 SANDY, UT 84070 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $99 | $2K | 15.37% |
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 | 354 | 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) | 360 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 155 | $91K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 76 | $111K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 76 | $111K |
| Other(5 contracts, 5 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 470 | $339K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 470 | — |
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.