| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN AND PIKE, INC. | 2603 WEST CHARLESTON BOULEVARD LAS VEGAS, NV 89102 | PROMINENCE HEALTH PLAN | $30K | — | $30K | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN AND PIKE, INC. | 2603 WEST CHARLESTON BOULEVARD LAS VEGAS, NV 89102 | STANDARD INSURANCE COMPANY | $7K | — | $7K | 9.15% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INS. BROKERAGE INC. | ONE HOLLOW LANE, SUITE 206 LAKE SUCCESS, NY 11042 | STANDARD INSURANCE COMPANY | $643 | — | $643 | 0.85% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN AND PIKE INC. | 2603 WEST CHARLESTON BOULEVARD LAS VEGAS, NV 89102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 4.53% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC. | 175 SOUTH THIRD STREET, SUITE 800 COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $705 | $705 | 1.26% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 1400 ROCKY RIDGE DRIVE, SUITE 280 ROSEVILLE, CA 95661 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $152 | — | $152 | 0.27% |
| PATRICK J SULLIVAN3 Filed as: PATRICK J. SULLIVAN | 36 DESERT HIGHLAND SOUTH DRIVE HENDERSON, NV 89052 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 6.27% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN AND PIKE INC. | 2603 WEST CHARLESTON BOULEVARD LAS VEGAS, NV 89102 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 4.93% |
| DEBORAH L SENN3 Filed as: DEBORAH L. SENN | 5846 FALLING STREAM AVENUE LAS VEGAS, NV 89131 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.62% |
| SIMON B REYES3 Filed as: SIMON B. REYES | 724 AMBER HILLS DRIVE LAS VEGAS, NV 89123 | CONTINENTAL AMERICAN INSURANCE COMPANY | $600 | — | $600 | 1.26% |
| MARTIN J LEWIS3 Filed as: MARTIN J. LEWIS | PO BOX 80792 LAS VEGAS, NV 89180 | CONTINENTAL AMERICAN INSURANCE COMPANY | $586 | — | $586 | 1.23% |
| DWAYNE R MARTINEZ3 Filed as: DWAYNE R. MARTINEZ | 4625 SOUTH POLARIS ROAD, SUITE 212 LAS VEGAS, NV 89103 | CONTINENTAL AMERICAN INSURANCE COMPANY | $367 | — | $367 | 0.77% |
| MJ INSURANCE3 Filed as: COLLEEN LAPRADE AND VARIOUS AGENTS | 6005 HIDDEN VALLEY ROAD, SUITE 150 CARLSBAD, CA 92011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $161 | — | $161 | 0.34% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN AND PIKE, INC. | 2603 WEST CHARLESTON BOULEVARD LAS VEGAS, NV 89102 | VISION SERVICE PLAN | $730 | — | $730 | 5.38% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 160 FEDERAL STREET, FLOOR 2 BOSTON, MA 02110 | VISION SERVICE PLAN | $150 | — | $150 | 1.10% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN & PIKE, INC. | UNKNOWN ROSEVILLE, CA 95661 | LEGAL CLUB OF AMERICA | $2K | — | $2K | 32.25% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC | UNKNOWN ROSEVILLE, CA 95661 | LEGAL CLUB OF AMERICA | $129 | — | $129 | 2.05% |
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 | 121 | 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) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PROMINENCE HEALTH PLAN | 204 | $1.0M |
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 112 | $56K |
| Vision | VISION SERVICE PLAN | 109 | $14K |
| Life insurance | STANDARD INSURANCE COMPANY | 121 | $75K |
| Short-term disability | STANDARD INSURANCE COMPANY | 121 | $75K |
| Long-term disability | STANDARD INSURANCE COMPANY | 121 | $75K |
| Prescription drug | PROMINENCE HEALTH PLAN | 204 | $998K |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 121 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 204 | — |
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.