| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC | PO BOX 2158 RIVERSIDE, CA 92516 | PREMERA BLUE CROSS | $96K | $0 | $96K | 3.38% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC | 12100 NORTHEAST 195TH STREET SUITE 200 BOTHELL, WA 98011 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $25K | $12K | $37K | 22.25% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC | PO BOX 749083 LOS ANGELES, CA 90074 | VISION SERVICE PLAN | $2K | $0 | $2K | 4.97% |
| MJ INSURANCE3 Filed as: KIMBERLY MOGER AND VARIOUS AGENTS | 24229 SOUTHEAST 147TH PLACE ISSAQUAH, WA 98027 | AFLAC | $1K | $0 | $1K | 3.59% |
| ANNA J HOOBLER3 | 1230 SOUTH 336TH STREET, SUITE A FEDERAL WAY, WA 98003 | AFLAC | $447 | $6 | $453 | 1.22% |
| THE WRITGHT BENEFITS, LLC3 | 4923 LAKERIDGE DRIVE EAST LAKE TAPPS, WA 98391 | AFLAC | $354 | $0 | $354 | 0.95% |
| LISA R PETERS3 | 1932 EAST COLLEGE WAY SUITE B MOUNT VERNON, WA 98273 | AFLAC | $296 | $0 | $296 | 0.80% |
| BRANDON PENKO3 Filed as: BRANDON C HOOBLER | 1230 SOUTH 336TH STREET SUITE A FEDERAL WAY, WA 98003 | AFLAC | $259 | $0 | $259 | 0.70% |
| TERRI LYNN MUELLER3 | 429 148TH STREET, NORTHEAST ARLINGTON, WA 98223 | AFLAC | $190 | $0 | $190 | 0.51% |
| CONNIE J WRIGHT3 | 720 VALLEY MALL PARKWAY EAST WENATCHEE, WA 98802 | AFLAC | $168 | $0 | $168 | 0.45% |
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 | 447 | 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) | 447 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 205 | $2.9M |
| Vision | VISION SERVICE PLAN | 369 | $42K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 429 | $167K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 429 | $167K |
| Prescription drug | PREMERA BLUE CROSS | 205 | $2.9M |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 429 | $213K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 429 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.