| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 160 FEDERAL STREET BOSTON, MA 02110 | AETNA LIFE INSURANCE COMPANY | $3K | $3K | $6K | 0.48% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN & PIKE, INC. | 10000 W CHARLESTON BLVD LAS VEGAS, NV 89135 | AETNA LIFE INSURANCE COMPANY | $850 | — | $850 | 0.06% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INS BROKERAGE INC. | 31 BUSINESS PARK DRIVE BRANFORD, CT 06405 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 7.43% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN & PIKE | 10000 W. CHARLESTON BLVD. STE 200 LAS VEGAS, NV 89135 | STANDARD INSURANCE COMPANY | $289 | — | $289 | 0.86% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 31 BUSINESS PARK DRIVE BRANFORD, CT 06405 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 7.39% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN & PIKE | 1000 W. CHARLESTON BLVD STE 200 LAS VEGAS, NV 89135 | STANDARD INSURANCE COMPANY | $290 | — | $290 | 0.89% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INS BROKERAGE INC. | 31 BUSINESS PARK DRIVE BRANFORD, CT 06405 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 7.42% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN & PIKE | 10000 W. CHARLESTON BLVD. STE 200 LAS VEGAS, NV 89135 | STANDARD INSURANCE COMPANY | $187 | — | $187 | 0.87% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 160 FEDERAL STREET BOSTON, MA 02110 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 17.36% |
| PATRICK J SULLIVAN3 Filed as: PATRICK J. SULLIVAN | 36 DESERT HIGHLAND DRIVE HENDERSON, NV 89052 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 10.43% |
| LUZ ELENA SERVI3 Filed as: LUZ E. SERVI | 2349 SALEROSO DRIVE ROWLAND HEIGHTS, CA 91748 | CONTINENTAL AMERICAN INSURANCE COMPANY | $287 | — | $287 | 2.45% |
| STEVE D SERVI3 Filed as: STEVE D. SERVI | 6127 SOUTH RAINBOW BOULEVARD SUITE 110 LAS VEGAS, NV 89118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $162 | — | $162 | 1.38% |
| DEBORAH L SENN3 Filed as: DEBORAH L. SENN | 5846 FALLING STREAM AVENUE LAS VEGAS, NV 89131 | CONTINENTAL AMERICAN INSURANCE COMPANY | $58 | — | $58 | 0.49% |
| THE PROFECTUS GROUP LLC3 Filed as: THE PROFECTUS GROUP, LLC | 30 WEST RUSSELL ROAD COLUMBUS, OH 43215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $48 | — | $48 | 0.41% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN & PIKE, INC. | 2603 W. CHARLESTON RD. LAS VEGAS, NV 89102 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.27% |
| SIMON B REYES3 Filed as: SIMON B. REYES | 724 AMBER HILLS DRIVE LAS VEGAS, NV 89123 | CONTINENTAL AMERICAN INSURANCE COMPANY | $30 | — | $30 | 0.26% |
| DWAYNE R MARTINEZ3 Filed as: DWAYNE R. MARTINEZ | 597 W 475 N CLEARFIELD, UT 84015 | CONTINENTAL AMERICAN INSURANCE COMPANY | $29 | — | $29 | 0.25% |
| SAHAR QABAZARD3 Filed as: SAHAR QABAZARD AND OTHER AGENTS | 18121 CALIFORNIA COURT SONOMA, CA 95476 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.08% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | — | LEGAL CLUB OF AMERICA | $1K | — | $1K | 22.80% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: CRAGIN & PIKE, INC. | UNKNOWN LAS VEGAS, NV 89106 | LEGAL CLUB OF AMERICA | $374 | — | $374 | 8.40% |
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 | 127 | 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) | 127 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 170 | $1.3M |
| Dental | AETNA LIFE INSURANCE COMPANY | 170 | $1.3M |
| Vision | AETNA LIFE INSURANCE COMPANY | 170 | $1.3M |
| Life insurance | STANDARD INSURANCE COMPANY | 126 | $33K |
| Short-term disability | STANDARD INSURANCE COMPANY | 127 | $22K |
| Long-term disability | STANDARD INSURANCE COMPANY | 127 | $33K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 170 | $1.3M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 126 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 170 | — |
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.