| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | CALIFORNIA PHYSICIANS' SERVICE | $25K | $1K | $26K | 1.55% |
| KERN SCHOOLS FEDERAL CREDIT UNION1 | 9500 MING AVENUE BAKERSFIELD, CA 93311 | CALIFORNIA PHYSICIANS' SERVICE | $19K | — | $19K | 1.16% |
| KERN SCHOOLS FEDERAL CREDIT UNION1 | P.O. BOX 9506 BAKERSFIELD, CA 933899506 | KAISER FOUNDATION HEALTH PLAN INC. | $38K | — | $38K | 2.49% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN INC. | $38K | — | $38K | 2.49% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | PREMIER ACCESS INSURANCE COMPANY | $4K | — | $4K | 1.49% |
| KERN SCHOOLS FEDERAL CREDIT UNION1 | 11500 BOLTHOUSE DRIVE BAKERSFIELD, CA 93311 | PREMIER ACCESS INSURANCE COMPANY | $4K | — | $4K | 1.49% |
| AGIS NETWORK INC3 Filed as: AGIS NETWORK INC. | 2122 KRATKY ROAD SAINT LOUIS, MO 63114 | TRANSAMERICA LIFE INSURANCE COMPANY | $6K | — | $6K | 3.17% |
| ADVANCED LTC INSURANCE SERVICES3 | 425 W. BROADWAY SUITE 2015 GLENDALE, CA 91204 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 1.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 1.57% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $1K | $4K | 7.41% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | GERBER LIFE INSURANCE CO. | $2K | — | $2K | 6.49% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $794 | $5K | 15.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | MANAGED HEALTH NETWORK | $1K | — | $1K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $242 | $260 | $502 | 10.38% |
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 | 401 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 414 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 366 | $3.2M |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 277 | $267K |
| Vision | GERBER LIFE INSURANCE CO. | 251 | $33K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 370 | $56K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 370 | $30K |
| Prescription drug(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 366 | $3.2M |
| Other(4 contracts, 3 carriers) | TRANSAMERICA LIFE INSURANCE COMPANY | 430 | $276K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 430 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.