| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12100 NE 195TH STREET BOTHELL, WA 98011 | REGENCE BLUESHIELD | $84K | $4K | $88K | 5.70% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12100 NE 195TH STREET BOTHELL, WA 98011 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 3.98% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12100 NE 195TH STREET BOTHELL, WA 98011 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $4K | $7K | 11.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12100 NE 195TH STREET BOTHELL, WA 98011 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $13K | $3K | $16K | 34.28% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12100 NE 195TH STREET BOTHELL, WA 98011 | VISION SERVICE PLAN | $1K | — | $1K | 4.75% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12100 NE 195TH STREET BOTHELL, WA 98011 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $5K | 21.06% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12100 NE 195TH STREET BOTHELL, WA 98011 | ASSURITY LIFE INSURANCE COMPANY | $4K | — | $4K | 23.34% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12100 NE 195TH STREET BOTHELL, WA 98011 | UNUM INSURANCE COMPANY | $294 | $232 | $526 | 5.37% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12100 NE 195TH STREET BOTHELL, WA 98011 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $133 | $1K | 16.75% |
| AON CONSULTING INC3 Filed as: BSWIFT | 10 S RIVERSIDE PLAZA CHICAGO, IL 60606 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $228 | — | $228 | 2.99% |
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 | 330 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 331 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD | 188 | $1.5M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 210 | $150K |
| Vision | VISION SERVICE PLAN | 168 | $29K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 330 | $74K |
| Short-term disability | ASSURITY LIFE INSURANCE COMPANY | 77 | $17K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 329 | $67K |
| Prescription drug | REGENCE BLUESHIELD | 188 | $1.5M |
| Other(5 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 330 | $108K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 330 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.