| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | BLUE CROSS OF CALIFORNIA | $54K | $7K | $61K | 4.80% |
| AURELIO VELA INSURANCE SERVICES INC3 | 1561 EAST ORGANETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $2K | $0 | $2K | 9.41% |
| LUZ CASTILLO BARRIGA3 Filed as: LUZ BARRIGA | 22019 JUAN AVENUE HAWAIIAN GARDENS, CA 90716 | AFLAC | $1K | $0 | $1K | 6.35% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN HAJIMOMEN | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $476 | $0 | $476 | 2.42% |
| MJ INSURANCE3 Filed as: THOMAS GENTZ AND VARIOUS AGENTS | 3848 CHERRY BROOK LANE MASON, OH 45040 | AFLAC | $303 | $0 | $303 | 1.54% |
| LISA K ARELLANO3 Filed as: LISA ARELLANO | 2982 SAN FERNANDO STREET MINDEN, NV 89423 | AFLAC | $139 | $0 | $139 | 0.71% |
| GIABINH NGUYEN3 | 21107 MAYBROOK MANOR LANE RICHMOND, TX 77407 | AFLAC | $121 | $0 | $121 | 0.62% |
| G COOKE3 Filed as: G. COOKE | 2832 NORTHEAST 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $112 | $0 | $112 | 0.57% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | UNKNOWN CITY OF INDUSTRY, CA 91746 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
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 | 186 | 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) | 186 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA | 186 | $1.3M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 186 | $1.3M |
| Vision | BLUE CROSS OF CALIFORNIA | 186 | $1.3M |
| Life insurance | BLUE CROSS OF CALIFORNIA | 186 | $1.3M |
| Prescription drug | BLUE CROSS OF CALIFORNIA | 186 | $1.3M |
| Other | BLUE CROSS OF CALIFORNIA | 186 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 186 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.