| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 4371 LATHAM STREET SUITE 101 RIVERSIDE, CA 92501 | BLUE CROSS OF CALIFORNIA | $43K | $2K | $45K | 4.30% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 3390 UNIVERSITY AVENUE SUITE 300 RIVERSIDE, CA 92501 | BLUE CROSS OF CALIFORNIA | $12K | $1K | $13K | 1.24% |
| AURELIO VELA INSURANCE SERVICES INC3 | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $2K | $253 | $2K | 8.39% |
| LUZ CASTILLO BARRIGA3 Filed as: LUZ C BARRIGA | 22019 JUAN AVENUE HAWAIIAN GARDENS, CA 90716 | AFLAC | $555 | $183 | $738 | 3.48% |
| JONATHAN ALI HAJIMOMEN3 | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $387 | $73 | $460 | 2.17% |
| MJ INSURANCE3 Filed as: THOMAS S GENTZ AND VARIOUS AGENTS | 3848 CHERRY BROOKS LANE MASON, OH 45040 | AFLAC | $275 | $0 | $275 | 1.30% |
| LISA K ARELLANO3 | 2982 SAN FERNANDO STREET MINDEN, NV 89723 | AFLAC | $109 | $0 | $109 | 0.51% |
| TABELLO INS SERVICES INC3 Filed as: TABELLO INSURANCE SERVICES, INC. | 1561 ORANGETHORPE AVENUE SUTE 200 FULLERTON, CA 92831 | AFLAC | $98 | $0 | $98 | 0.46% |
| G SCOTT COOKE3 | 2832 NORTHEAST 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $97 | $0 | $97 | 0.46% |
| 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 | 89 | 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) | 89 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA | 193 | $1.0M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 193 | $1.1M |
| Vision | BLUE CROSS OF CALIFORNIA | 193 | $1.0M |
| Life insurance | BLUE CROSS OF CALIFORNIA | 193 | $1.0M |
| Short-term disability | AFLAC | 27 | $21K |
| Prescription drug | BLUE CROSS OF CALIFORNIA | 193 | $1.0M |
| Other(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 193 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 193 | — |
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.