| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS. | P.O. BOX 2158 RIVERSIDE, CA 92516 | BLUE CROSS OF CALIFORNIA | $31K | — | $31K | 3.34% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CA INS. SVCS. | P.O. BOX 2158 RIVERSIDE, CA 92516 | KAISER FOUNDATION HEALTH PLAN INC. | $43K | $1K | $44K | 5.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS. | P.O. BOX 2158 RIVERSIDE, CA 92516 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $6K | — | $6K | 7.00% |
| NETTIE PENA3 | 1227 CASSIA TRAIL PALM SPRINGS, CA 92262 | AFLAC | $1K | $829 | $2K | 4.41% |
| GEORGE HUDSON3 | 1227 CASSIA TRAIL PALM SPRINGS, CA 92262 | AFLAC | $2K | $469 | $2K | 4.20% |
| MARRS MADDOCKS & ASSOC. INS. SVCS.3 Filed as: MARRS MADDOCKS & ASSOCIATE INS. SVC | 1903 WRIGHT PLACE, SUITE 280 CARLSBAD, CA 92008 | AFLAC | $1K | — | $1K | 2.83% |
| DOUGLAS J SUCHECKI3 Filed as: DOUGLAS J. SUCHECKI | 3850 VINE STREET, SUITE 130 RIVERSIDE, CA 92507 | AFLAC | $782 | $294 | $1K | 2.06% |
| HEATHER GRAHAM3 | 49465 PARK AVENUE MORONGO VALLEY, CA 92256 | AFLAC | $518 | $324 | $842 | 1.61% |
| PETRAGLIA INSURANCE SERVICES INC3 Filed as: PETRAGLIA INSURANCE SERVICES INC. | 5924 BALFOUR COURT, SUITE 100 CARLSBAD, CA 92008 | AFLAC | $736 | $18 | $754 | 1.44% |
| AARON ROJO3 | P.O. BOX 4018 PALM DESERT, CA 92261 | AFLAC | $196 | $143 | $339 | 0.65% |
| ANDREW R GRETHEL3 Filed as: ANDREW R. GRETHEL | 600 S. HIDDEN VALLEY RD., SUITE 150 CARLSBAD, CA 92011 | AFLAC | $35 | — | $35 | 0.07% |
| LEONARD KROMMENHOEK3 | 6005 S. HIDDEN VALLEY RD., STE. 150 CARLSBAD, CA 92011 | AFLAC | $9 | — | $9 | 0.02% |
| DAWN T SUCHECKI3 Filed as: DAWN T. SUCHECKI | 3850 VINE STREET, SUITE 130 RIVERSIDE, CA 92507 | AFLAC | $9 | — | $9 | 0.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CA INS. SVCS. | 4371 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | $2K | $6K | 15.23% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS. | P.O. BOX 2158 RIVERSIDE, CA 92516 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $654 | — | $654 | 3.34% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS. | P.O. BOX 2158 RIVERSIDE, CA 92516 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $453 | — | $453 | 7.00% |
| GEORGE HUDSON3 | 58335 ARCADIA TRAIL YUCCA VALLEY, CA 92284 | AFLAC | $119 | — | $119 | 2.85% |
| MARRS MADDOCKS & ASSOC. INS. SVCS.3 Filed as: MARRS MADDOCKS & ASSOCIATE INS. SVC | 1903 WRIGHT PLACE, SUITE 280 CARLSBAD, CA 92008 | AFLAC | $71 | — | $71 | 1.70% |
| PETRAGLIA INSURANCE SERVICES INC3 Filed as: PETRAGLIA INSURANCE SERVICES INC. | 5924 BALFOUR COURT, SUITE 100 CARLSBAD, CA 92008 | AFLAC | $50 | — | $50 | 1.20% |
| DOUGLAS J SUCHECKI3 Filed as: DOUGLAS J. SUCHECKI | 3850 VINE STREET, SUITE 130 RIVERSIDE, CA 92507 | AFLAC | $50 | — | $50 | 1.20% |
| NETTIE PENA3 | 1227 CASSIA TRAIL PALM SPRINGS, CA 92262 | AFLAC | $43 | — | $43 | 1.03% |
| HEATHER A. GRAHAM3 | 49465 PARK AVENUE MORONGO VALLEY, CA 92256 | AFLAC | $15 | — | $15 | 0.36% |
| AARON ROJO3 | P.O. BOX 4018 PALM DESERT, CA 92261 | AFLAC | $10 | — | $10 | 0.24% |
| COLLEEN M LAPRADE3 Filed as: COLLEEN M. LAPRADE | 6005 HIDDEN VALLEY RD., STE. 150 CARLSBAD, CA 92011 | AFLAC | $8 | — | $8 | 0.19% |
| DAWN T SUCHECKI3 Filed as: DAWN T. SUCHECKI | 3850 VINE STREET, SUITE 130 RIVERSIDE, CA 92507 | AFLAC | $8 | — | $8 | 0.19% |
| ANDREW R GRETHEL3 Filed as: ANDREW R. GRETHEL | 600 HIDDEN VALLEY RD., STE. 150 CARLSBAD, CA 92011 | AFLAC | $3 | — | $3 | 0.07% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CA INS. SVCS. | 4371 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $387 | — | $387 | 11.57% |
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 | 371 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 374 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 153 | $1.8M |
| Dental(3 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 138 | $1.0M |
| Vision(2 contracts) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 190 | $45K |
| Life insurance(5 contracts, 3 carriers) | AFLAC | 371 | $121K |
| Short-term disability(2 contracts) | AFLAC | 93 | $56K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 153 | $1.8M |
| Other(4 contracts, 3 carriers) | AFLAC | 371 | $118K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 371 | — |
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."
No prospect flags tripped on this filing.