| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | KAISER FOUNDATION HEALTH PLAN, INC. | $65K | $0 | $65K | 2.07% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 2000 SOUTH COLORADO BOULEVARD SUITE 150 DENVER, CO 80222 | METROPOLITAN LIFE INSURANCE COMPANY | $88K | $396 | $88K | 7.52% |
| KEELER & ASSOCIATES3 Filed as: KEELER & ASSOCIATES, INC. | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | METROPOLITAN LIFE INSURANCE COMPANY | $38K | $0 | $38K | 3.28% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $20K | $20K | 1.68% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CLARENCE GALLAGHER | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 0.15% |
| SHAWN KEELER3 | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 0.15% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 4371 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | KAISER FOUNDATION HEALTH PLAN, INC. | $24K | $0 | $24K | 3.23% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 2000 SOUTH COLORADO BOULEVARD SUITE 150 DENVER, CO 80222 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $639 | $0 | $639 | 4.87% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $0 | $219 | $219 | 1.67% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 2000 SOUTH COLORADO BOULEVARD SUITE 150 DENVER, CO 80222 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $71 | $0 | $71 | 5.26% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $0 | $25 | $25 | 1.85% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 2000 SOUTH COLORADO BOULEVARD SUITE 150 DENVER, CO 80222 | SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | $26 | $0 | $26 | 5.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | $0 | $7 | $7 | 1.35% |
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 | 2,787 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,791 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN, INC. | 567 | $3.9M |
| Dental(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,864 | $1.2M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 1,864 | $1.2M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,864 | $1.2M |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,864 | $1.2M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,864 | $1.2M |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN, INC. | 567 | $3.9M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 1,864 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,864 | — |
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.