| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 55 E JACKSON BLVD STE 14A CHICAGO, IL 60604 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $31K | — | $31K | 5.00% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R NELLIGAN & ASSOCIATES | 1933 STATE ROUTE 35, SUITE 368 WALL TOWNSHIP, NJ 077193502 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $10K | $10K | 1.58% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | ATTN JANICE FERRERA 3510 N CAUSEWAY BLVD METAIRIE, LA 700083531 | RELIASTAR LIFE INSURANCE COMPANY | $66K | — | $66K | 20.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6701 CENTER DR W STE 1500 LOS ANGELES, CA 90045 | RELIASTAR LIFE INSURANCE COMPANY | $9K | — | $9K | 2.78% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE STE 203 ORLANDO, FL 326013277 | RELIASTAR LIFE INSURANCE COMPANY | — | $5K | $5K | 1.43% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD FL 14 CHICAGO, IL 60693 | VISION SERVICE PLAN | $6K | — | $6K | 2.52% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 55 E JACKSON BLVD STE 14A CHICAGO, IL 60604 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $11K | — | $11K | 5.29% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R NELLIGAN & ASSOCIATES | 1933 STATE RTE 35 STE 368 WALL TOWNSHIP, NJ 07719 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $5K | $5K | 2.35% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 55 E JACKSON BLVD STE 14A CHICAGO, IL 60604 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | — | $7K | 9.82% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R NELLIGAN & ASSOCIATES | 1933 STATE RTE 35 STE 368 WALL TOWNSHIP, NJ 07719 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $4K | $4K | 5.89% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 BENEFIT ADMINISTRATOR | Contract Administrator Service code 13 | 151 FARMINGTON AVE HARTFORD, CT 06156 | $776K |
| INSPIRA FINANCIAL EIN 91-1774434 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $55K |
| DELTA DENTAL OF ARIZONA EIN 86-0274899 CLAIMS PROCESSING | Contract Administrator; Claims processing Service code 12 | — | $51K |
| LINCOLN NATIONAL LIFE INSURANCE EIN 35-0472300 CONTRACT ADMINISTRATOR | Insurance services; Contract Administrator; Claims processing Service code 12 | — | $45K |
| LINCOLN NATIONAL LIFE INSURANCE CO EIN 35-0472300 CLAIMS PROCESSING | Contract Administrator; Claims processing Service code 12 | — | $17K |
| RXBENEFITS EIN 63-1157085 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $16K |
| HUB INTERNATIONAL MIDWEST EIN 35-0472300 BROKER | Contract Administrator; Insurance agents and brokers; Claims processing; Other commissions; Insurance services Service code 12 | 55 E JACKSON BLVD CHICAGO, IL 60604 | $12K |
| JAMES R NELLIGAN & ASSOCS BROKER | Insurance agents and brokers Service code 22 | 1933 STATE RTE 35, STE 368 WALL TOWNSHIP, NJ 07719 | $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 | 2,109 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,113 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,177 | $228K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,873 | $619K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 281 | $75K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 629 | $213K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE CO | 1,066 | $622K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 951 | $332K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,873 | — |
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.