| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS. | 6701 CENTER DRIVE WEST, SUITE 1500 LOS ANGELES, CA 90045 | BLUE CROSS OF CALIFORNIA | $30K | $3K | $32K | 3.38% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CA INS. SVCS. | P.O. BOX 2158 RIVERSIDE, CA 92516 | KAISER FOUNDATION HEALTH PLAN INC. | $44K | — | $44K | 5.01% |
| 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 | $3K | $8K | 17.07% |
| GEORGE HUDSON3 | 0116 N. POTSDAM AVE., NO. 1224 SUE FALLS, SD 57104 | AFLAC | $1K | — | $1K | 2.70% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS. | 5405 MOREHOUSE DR., SUITE 340 SAN DIEGO, CA 92121 | AFLAC | $1K | — | $1K | 2.55% |
| MARRS MADDOCKS & ASSOC. INS. SVCS.3 | 1903 WRIGHT PLACE, SUITE 280 CARLSBAD, CA 92008 | AFLAC | $710 | — | $710 | 1.54% |
| J&J KRENKLER INSURANCE SERVICES INC3 Filed as: J& J KRENKLER INSURANCE SVCS. INC. | 7084 SITIO FRONTERA CARLSBAD, CA 92009 | AFLAC | $593 | — | $593 | 1.29% |
| PETRAGLIA INSURANCE SERVICES INC3 Filed as: PETRAGLIA INSURANCE SERVICES INC. | 5924 BALFOUR COURT, SUITE 100 CARLSBAD, CA 92008 | AFLAC | $507 | — | $507 | 1.10% |
| DOUGLAS J SUCHECKI3 Filed as: DOUGLAS SUCHECKI | 3850 VINE STREET, SUITE 130 RIVERSIDE, CA 92507 | AFLAC | $505 | — | $505 | 1.09% |
| NETTIE PENA3 | 1227 CASSIA TRAIL PALM SPRINGS, CA 92262 | AFLAC | $430 | — | $430 | 0.93% |
| HEATHER GRAHAM3 | 3565 KINGS ROW AVE., APT. 101 EUGENE, OR 97401 | AFLAC | $138 | — | $138 | 0.30% |
| CHRISTOPHER L KENNEDY3 Filed as: CHRISTOPHER KENNEDY | 2888 LOKER AVE. E., SUITE 210 CARLSBAD, CA 92010 | AFLAC | $104 | — | $104 | 0.23% |
| SUSAN C. HAMA3 Filed as: SUSAN HAMA | 7778 PASEO LA JOLLA CARLSBAD, CA 92009 | AFLAC | $103 | — | $103 | 0.22% |
| DAWN T SUCHECKI3 Filed as: DAWN SUCHECKI | 225 S. WATER STREET WILMINGTON, NC 28401 | AFLAC | $85 | — | $85 | 0.18% |
| COLLEN LAPRADE3 | 6005 HIDDEN VALLEY ROAD, SUITE 150 CARLSBAD, CA 92011 | AFLAC | $85 | — | $85 | 0.18% |
| ANDREW R GRETHEL3 Filed as: ANDREW R. GRETHEL | 600 S. HIDDEN VALLEY RD., SUITE 150 CARLSBAD, CA 92011 | AFLAC | $31 | — | $31 | 0.07% |
| AARON ROJO3 | 74060 EL CORTEZ WAY PALM DESERT, CA 92260 | AFLAC | $8 | — | $8 | 0.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SVCS. | 6701 CENTER DRIVE WEST, SUITE 1500 LOS ANGELES, CA 90045 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $716 | $61 | $777 | 3.38% |
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 | 407 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 408 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 160 | $1.8M |
| Dental | BLUE CROSS OF CALIFORNIA | 109 | $956K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 206 | $48K |
| Life insurance(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 407 | $117K |
| Short-term disability | AFLAC | 101 | $46K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 160 | $1.8M |
| Other(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 407 | $117K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 407 | — |
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.