| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 2945 YAKIMA, WA 98907 | REGENCE BLUESHIELD | $44K | $2K | $46K | 3.98% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 3911 CASTLEVALE RD, STE. 209 YAKIMA, WA 98902 | REGENCE BLUESHIELD | $14K | $0 | $14K | 1.24% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | UNKOWN YAKIMA, WA 98903 | DELTA DENTAL OF WASHINGTON | $4K | $0 | $4K | 3.76% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 3911 CASTLEVALE RD., STE. 209 YAKIMA, WA 98902 | DELTA DENTAL OF WASHINGTON | $1K | $0 | $1K | 1.24% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 3018 BOTHELL, WA 98041 | USABLE LIFE | $10K | — | $10K | 20.00% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOLUTIONS, INC | PO BOX 34315 SEATTLE, WA 98124 | USABLE LIFE | $4K | — | $4K | 7.52% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 749083 LOS ANGELES, CA 90074 | VISION SERVICE PLAN | $1K | — | $1K | 5.83% |
| MICHAEL PETTERSON3 | PO BOX 3 MOXEE, WA 98936 | AFLAC | $540 | $16 | $556 | 3.90% |
| MELISSA PAUL3 | PO BOX 8010 YAKIMA, WA 98908 | AFLAC | $480 | $16 | $496 | 3.48% |
| GERALD INGRAHAM3 Filed as: GERALD INGRAHM | 8 S 2ND STREET, STE 718 YAKIMA, WA 98901 | AFLAC | $339 | $12 | $351 | 2.46% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 415 N 2ND STREET, STE. A YAKIMA, WA 98901 | AFLAC | $323 | — | $323 | 2.27% |
| SEAN F HARRINGTON3 Filed as: SEAN HARRINGTON | 11151 MIERAS RD YAKIMA, WA 98901 | AFLAC | $216 | — | $216 | 1.52% |
| LINDA F CRAIG3 Filed as: LINDA CRAIG | PO BOX 634 SUNNYSIDE, WA 98944 | AFLAC | $185 | — | $185 | 1.30% |
| BRIAN W. BALMES3 Filed as: BRIAN BALMES | 302 S 1ST STREET YAKIMA, WA 98901 | AFLAC | $185 | — | $185 | 1.30% |
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 | 107 | 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) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD | 213 | $1.2M |
| Dental | DELTA DENTAL OF WASHINGTON | 206 | $98K |
| Vision(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 213 | $1.2M |
| Life insurance | USABLE LIFE | 104 | $52K |
| Long-term disability | USABLE LIFE | 104 | $52K |
| Prescription drug | REGENCE BLUESHIELD | 213 | $1.2M |
| Other(2 contracts, 2 carriers) | USABLE LIFE | 104 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 213 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.