| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 55 E JACKSON BLVD STE 14A CHCIAGO, IL 60604 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | $28K | — | $28K | 6.03% |
| JAMES R NELLIGAN & ASSOCS LLC3 Filed as: JAMES R NELLIGAN & ASSOCS | 2338 IMMOKALEE RD STE 240 NAPLES, FL 34110 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | — | $9K | $9K | 1.93% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 55 E JACKSON 12TH FL CHICAGO, IL 60604 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | — | $4K | $4K | 0.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 15162 COLLECTION CENTER DR FL 14 CHICAGO, IL 60693 | VISION SERVICE PLAN | $6K | — | $6K | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 55 E JACKSON BLVD, STE 14A CHICAGO, IL 60604 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $10K | — | $10K | 6.10% |
| JAMES R NELLIGAN & ASSOCS LLC3 Filed as: JAMES R NELLIGAN & ASSOCS | 2338 IMMOKALEE RD STE 240 NAPLES, FL 34110 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $6K | $6K | 3.32% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATINAL MIDWEST | 55 E JACKSON 12TH FL CHICAGO, IL 60604 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 1.06% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | ATTN JANICE FERRERA 3510 N CAUSEWAY BLVD METAIRIE, LA 700083531 | RELIASTAR LIFE INSURANCE COMPANY | $31K | — | $31K | 20.00% |
| BSC AGENCY LLC3 | 1025 ASHWORTH RD WEST DES MOIONES, IA 502653566 | RELIASTAR LIFE INSURANCE COMPANY | — | $6K | $6K | 4.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | ATTN EMP BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | RELIASTAR LIFE INSURANCE COMPANY | $3K | — | $3K | 2.02% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE STE 203 ORLANDO, FL 326013277 | RELIASTAR LIFE INSURANCE COMPANY | — | $212 | $212 | 0.14% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 55 E JACKSON BLVD STE 14A CHCIAGO, IL 60604 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 6.38% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD 12TH FLOOR CHICAGO, IL 60604 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $4K | $4K | 4.09% |
| JAMES R NELLIGAN & ASSOCS LLC3 Filed as: JAMES R NELLIGAN & ASSOCS | 2338 IMMOKALEE RD STE 240 NAPLES, FL 34110 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $3K | $3K | 3.41% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVE. HARTFORD, CT 06156 | $838K |
| DELTA DENTAL OF ARIZONA EIN 86-0274899 CLAIMS PROCESSING | Contract Administrator; Claims processing Service code 12 | — | $44K |
| PAYFLEX EIN 91-1774434 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $40K |
| LINCOLN NATIONAL LIFE INSURANCE CO EIN 35-0472300 BROKER | Claims processing; Contract Administrator; Insurance services Service code 12 | — | $33K |
| RX BENEFITS INC. EIN 63-1157085 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $16K |
| HUB INTERNATIONAL MIDWEST LIMITED BROKER | Insurance agents and brokers Service code 22 | 55 E JACKSON BOULEVARD 14TH FLOOR A CHICAGO, IL 60604 | $5K |
| HUB INTERNATIONAL MIDWEST BROKER | Insurance agents and brokers; Other commissions Service code 22 | 55 E JACKSON AVE. CHICAGO, IL 60604 | $2K |
| JAMES R NELLIGAN & ASSOCS BROKER | Insurance agents and brokers Service code 22 | 2338 IMMOKALEE RD STE 240 NAPLES, FL 34110 | $0 |
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 | 1,149 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,155 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,058 | $209K |
| Life insurance | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 1,669 | $459K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 222 | $87K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 736 | $167K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 1,003 | $520K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 500 | $154K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,669 | — |
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.