| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 4371 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | CALIFORNIA PHYSICIANS SERVICE | $2K | $64K | $66K | 5.32% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 548 WEST CROMWELL AVENUE, SUITE 101 FRESNO, CA 93711 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $59 | $5K | 2.78% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.96% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 548 WEST CROMWELL AVENUE, SUITE 101 FRESNO, CA 93711 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $3K | $7K | 17.16% |
| EMERSON REID LLC3 | 350 5TH AVENUE, SUITE 3700 NEW YORK, NY 10118 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $754 | $754 | 1.75% |
| BRENT Y TANAMACHI3 Filed as: BRENT Y. TANAMACHI | 2288 KENT STREET SAN MATEO, CA 94403 | AFLAC | $42 | $0 | $42 | 4.06% |
| GEORGIANNA STOUT3 | 150 HARBOR DRIVE, SUITE 184 SAUSALITO, CA 94966 | AFLAC | $31 | $0 | $31 | 3.00% |
| BALTOR INSURANCE SERVICES3 | 533 AIRPORT BOULEVARD, SUITE 400 BURLINGAME, CA 94010 | AFLAC | $22 | $0 | $22 | 2.13% |
| JEANETTE SCHAUB3 | 81 VINTAGE CIRCLE, SUITE 3247 PLEASANTON, CA 94566 | AFLAC | $8 | $0 | $8 | 0.77% |
| ALLISON FARRIS WENDELBERGER3 Filed as: ALLISON WENDELBERGER & OTHER AGENTS | 207 SANTA FE DRIVE WALNUT CREEK, CA 94598 | AFLAC | $8 | $0 | $8 | 0.77% |
| ANNA JANICE RUIZ3 | 2596 17TH AVENUE SAN FRANCISCO, CA 94116 | AFLAC | $7 | $0 | $7 | 0.68% |
| REGINA E MARTINELLI3 Filed as: REGINA E. MARTINELLI | 3360 RIVER ROAD WINDSOR, CA 95492 | AFLAC | $6 | $0 | $6 | 0.58% |
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 | 180 | 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) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS SERVICE | 103 | $2.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 249 | $167K |
| Vision | CALIFORNIA PHYSICIANS SERVICE | 89 | $1.2M |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 180 | $43K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 180 | $43K |
| Prescription drug(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS SERVICE | 103 | $2.2M |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 180 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 249 | — |
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.