| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SERVICE | 3390 UNIVERSITY AVE RIVERSIDE, CA 92501 | AETNA HEALTH, INC. | $39K | — | $39K | 4.15% |
| DKG INSURANCE & FINANCIAL SERVICES3 | 2404 PARK CENTRAL DR, STE 400S DALLAS, TX 75251 | AETNA HEALTH, INC. | $8K | — | $8K | 0.83% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL INSURANCE SERVICE | 3390 UNIVERSITY AVE RIVERSIDE, CA 92501 | AETNA LIFE INSURANCE CO | $4K | — | $4K | 4.10% |
| DKG INSURANCE & FINANCIAL SERVICES3 | 2404 PARK CENTRAL DR, STE 400S DALLAS, TX 75251 | AETNA LIFE INSURANCE CO | $718 | — | $718 | 0.82% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY SE, STE 1950 ATLANTA, GA 303395946 | DELTA DENTAL OF CALIFORNIA | $5K | $16K | $21K | 26.25% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, STE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $2K | $10K | 26.70% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, STE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $6K | 26.53% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY SE, STE 1950 ATLANTA, GA 303395946 | VISION SERVICE PLAN | $563 | $4K | $4K | 33.76% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, STE 1950 ATLANTA, GA 303395946 | DELTA DENTAL OF CALIFORNIA | $555 | — | $555 | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE | 4371 LATHAM ST, STE 101 RIVERSIDE, CA 92501 | HOLMAN PROFESSIONAL COUNSELING CENTERS | $232 | — | $232 | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SERVICE | PO BOX 2158 RIVERSIDE, CA 92516 | HARTFORD LIFE AND ACCIDENT | $222 | — | $222 | 9.98% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SERVICE | 12404 PARK CENTRAL DR, STE 400S DALLAS, TX 75251 | HARTFORD LIFE AND ACCIDENT | — | $111 | $111 | 4.99% |
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 | 119 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO | 7 | $88K |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 73 | $86K |
| Vision | VISION SERVICE PLAN | 94 | $13K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 100 | $39K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 100 | $22K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 115 | — |
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.