| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL LIMITED | 150 NORTH RIVERSIDE PLAZA SUITE 1700 CHICAGO, IL 60606 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $7K | $7K | 2.13% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 10167 EUGENE, OR 97440 | PRINCIPAL LIFE INSURANCE COMPANY | $3 | $0 | $3 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BOULEVARD 14TH FLOOR, SUITE 14A CHICAGO, IL 60604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $420 | $420 | 0.28% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $174 | $127 | $301 | 0.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 3018 BOTHELL, WA 98041 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $174 | $0 | $174 | 0.12% |
| LISA BILGEN DE HERRERA3 | 14830 AIRLIE ROAD MONMOUTH, OR 97361 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $530 | $0 | $530 | 4.64% |
| MICHAEL LEROY ALLEY3 | 2189 SE 12TH AVENUE CANBY, OR 97013 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $114 | $0 | $114 | 1.00% |
| MARCI TALBURT3 | 4721 AZALEA GLEN ROAD GLENDALE, OR 99744 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $102 | $0 | $102 | 0.89% |
| BRYAN JORAMO3 | 2606 STRASBURG DRIVE FOREST GROVE, OR 97116 | AFLAC | $188 | $0 | $188 | 3.30% |
| DAVID M. JOHNSON AND OTHER AGENTS3 | 3222 SOUTH SAGLE ROAD SAGLE, ID 83860 | AFLAC | $80 | $0 | $80 | 1.40% |
| SIDNEY BRYON STONE3 | 2475 BAINES BOULEVARD HUBBARD, OR 97032 | AFLAC | $69 | $0 | $69 | 1.21% |
| KRISS A CLONINGER3 | 23660 SW DELANOIS PLACE SHERWOOD, OR 97140 | AFLAC | $45 | $0 | $45 | 0.79% |
| MORGAN SUSANNE ROE3 | 4850 OBISPO ROAD ATASCADERO, CA 93422 | AFLAC | $36 | $0 | $36 | 0.63% |
| JOHN WILLIAM BURKHART3 | 6184 SOUTH EGRET STREET WASILLA, AK 99623 | AFLAC | $33 | $0 | $33 | 0.58% |
| MATTHEW G BERGER3 Filed as: MATTHEW A. BUMALA | 11504 NW 30TH COURT VANCOUVER, WA 98685 | AFLAC | $28 | $0 | $28 | 0.49% |
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 | 615 | 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) | 615 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 615 | $166K |
| Short-term disability(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 608 | $339K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 608 | $322K |
| Other(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 615 | $176K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 615 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.