| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 3018 BOTHELL, WA 98041 | UNITEDHEALTHCARE INSURANCE COMPANY | $37K | $119 | $38K | 2.10% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 7225 NORTHLAND DRIVE NORTH SUITE 300 MINNEAPOLIS, MN 55428 | UNITEDHEALTHCARE INSURANCE COMPANY | $34K | — | $34K | 1.91% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST | 415 N 2ND ST YAKIMA, WA 98901 | AETNA LIFE INSURANCE COMPANY | $4K | — | $4K | 2.57% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 7225 NORTHLAND DRIVE NORTH SUITE 300 MINNEAPOLIS, MN 55428 | AETNA LIFE INSURANCE COMPANY | $2K | $32 | $2K | 1.59% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | STE 200 12100 NE 195TH ST BOTHELL, WA 98011 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $227 | $3K | 11.51% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 7225 NORTHLAND DRIVE NORTH SUITE 300 MINNEAPOLIS, MN 55428 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $225 | $2K | 6.52% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | STE 200 12100 NE 195TH ST BOTHELL, WA 98011 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $161 | $2K | 10.13% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 7225 NORTHLAND DRIVE NORTH SUITE 300 MINNEAPOLIS, MN 55428 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $221 | $2K | 7.85% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 749083 LOS ANGELES, CA 90074 | VISION SERVICE PLAN | $739 | — | $739 | 4.46% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | STE 200 12100 NE 195TH ST BOTHELL, WA 98011 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $110 | $3K | 16.57% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 7225 NORTHLAND DRIVE NORTH SUITE 300 MINNEAPOLIS, MN 55428 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $997 | $133 | $1K | 7.31% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST, LLC | STE 200 12100 NE 195TH ST BOTHELL, WA 98011 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $51 | $1K | 13.89% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | STE 200 12100 NE 195TH ST BOTHELL, WA 98011 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $954 | $54 | $1K | 15.85% |
| KEVIN C DUNN4 | 4120 N FERDINAND ST. TACOMA, WA 98407 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $630 | — | $630 | 17.59% |
| ABUNDANCE STRATEGIES LLC4 | 11274 SW MCKENZIE CT W WILSONVILLE, OR 97070 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $33 | — | $33 | 0.92% |
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 | 190 | 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) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 266 | $1.8M |
| Dental | AETNA LIFE INSURANCE COMPANY | 277 | $146K |
| Vision | VISION SERVICE PLAN | 140 | $17K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 190 | $45K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 23 | $24K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 190 | $29K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 266 | $1.8M |
| Other(5 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 190 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 277 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.