| 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 | $8K | $8K | 4.08% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BOULEVARD 14TH FLOOR, SUITE 14A CHICAGO, IL 60604 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $3K | $3K | 1.87% |
| LISA BILGEN DE HERRERA3 | 14830 AIRLIE ROAD MONMOUTH, OR 97361 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $315 | $0 | $315 | 3.38% |
| MICHAEL LEROY ALLEY3 | 2189 SE 12TH AVENUE CANBY, OR 97103 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $75 | $0 | $75 | 0.81% |
| MARCI TALBURT3 | 4721 AZALEA GLEN ROAD GLENDALE, OR 97442 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $65 | $0 | $65 | 0.70% |
| BRYAN JORAMO3 | 2606 STRASBURG DRIVE FOREST GROVE, OR 97116 | AFLAC | $139 | $0 | $139 | 3.49% |
| SIDNEY BRYON STONE3 | 2475 BAINES BOULEVARD HUBBARD, OR 97032 | AFLAC | $47 | $0 | $47 | 1.18% |
| G SCOTT COOKE3 Filed as: SCOTT E NIELSEN | 718B WEST FOURTH PLAIN BOULEVARD VANCOVER, WA 98660 | AFLAC | $43 | $0 | $43 | 1.08% |
| KRISS A CLONINGER3 | 23660 SW DELANOIS PLACE SHERWOOD, OR 97140 | AFLAC | $32 | $0 | $32 | 0.80% |
| MORGAN SUSANNE ROE3 | 4850 OBISPO ROAD ATASCADERO, CA 93422 | AFLAC | $28 | $0 | $28 | 0.70% |
| MATTHEW G BERGER3 Filed as: MATTHEW A BUMALA | 11504 NW 30TH COURT VANCOUVER, WA 98685 | AFLAC | $21 | $0 | $21 | 0.53% |
| CHRISTOPHER WALLACE HOFF3 | 56 MARATHON WAY PONTE VEDRA, FL 32081 | AFLAC | $10 | $0 | $10 | 0.25% |
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 | 625 | 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) | 625 | 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 | 625 | $149K |
| Short-term disability(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 639 | $218K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 639 | $204K |
| Other(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 625 | $162K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 639 | — |
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.