| 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 | AETNA HEALTH, INC. | $70K | — | $70K | 6.62% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN INC. | $21K | $4K | $25K | 6.06% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD., SUITE 100 PASADENA, CA 91107 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $16K | $8K | $24K | 11.93% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD., SUITE 100 PASADENA, CA 91107 | AETNA LIFE INSURANCE CO. | $9K | — | $9K | 6.46% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN INC. | $4K | $329 | $4K | 5.38% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 20.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD., SUITE 100 PASADENA, CA 91107 | VISION SERVICE PLAN | $1K | — | $1K | 4.93% |
| MARGARET VAIL3 | 1320 E. CALIFORNIA BLVD. PASADENA, CA 91106 | AFLAC | $918 | $89 | $1K | 4.35% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD. PASADENA, CA 91107 | AFLAC | $916 | — | $916 | 3.96% |
| FELICIA A. DOMINGUEZ3 | 6100 CENTER DR. SUITE 670 LOS ANGELES, CA 90045 | AFLAC | $622 | — | $622 | 2.69% |
| MICHAEL R. FISHER3 | 50 W. LEMON AVE. SUITE 2 MONROVIA, CA 91016 | AFLAC | $300 | $33 | $333 | 1.44% |
| LILY YAN3 | 5805 SEPULVEDA BLVD. SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $316 | — | $316 | 1.36% |
| KEVIN MICHAEL NAGLE3 | 32 ESPERANZA AVE. APT. F SIERRA MADRE, CA 91024 | AFLAC | $316 | — | $316 | 1.36% |
| DENNY P. TWIGG3 | 24405 CHESTNUT ST. SUITE 103 SANTA CLARITA, CA 91321 | AFLAC | $140 | $48 | $188 | 0.81% |
| GEOFFREY MALAIS3 | 16800 DEVONSHIRE ST. SUITE 220 GRANADA HILLS, CA 91344 | AFLAC | $149 | — | $149 | 0.64% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS | 2922 CORDA LN. LOS ANGELES, CA 90049 | AFLAC | $104 | — | $104 | 0.45% |
| WHITE & COMPANY INSURANCE INC.3 Filed as: WHITE AND COMPANY INC. | P.O. BOX 70 SANTA MONICA, CA 90406 | AFLAC | $79 | — | $79 | 0.34% |
| DONNA REEVE3 | 9 MAPLE AVE. KENTFIELD, CA 94904 | AFLAC | $70 | — | $70 | 0.30% |
| SPALDING GROUP ENTERPRISES3 | 4297 KLUMP AVE. STUDIO CITY, CA 91602 | AFLAC | $68 | — | $68 | 0.29% |
| DENNY P. TWIGG3 | 18824 CEDAR VALLEY WAY NEWHALL, CA 91321 | AFLAC | $52 | — | $52 | 0.22% |
| EDDIE DEVOLD & ASSOCIATES3 | 10736 JEFFERSON BLVD. UNIT 119 CULVER CITY, CA 90230 | AFLAC | $32 | $18 | $50 | 0.22% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVE. LOS ANGELES, CA 90045 | AFLAC | $27 | — | $27 | 0.12% |
| MARK A. MUELLER3 | 4145 SHADOW LN. APT. 413 SANTA ROSA, CA 95405 | AFLAC | $20 | — | $20 | 0.09% |
| LAURA O. LEE3 | 3515 E. OCEAN BLVD. APT. 9 LONG BEACH, CA 90803 | AFLAC | $19 | — | $19 | 0.08% |
| JOSEPH A BUZZELLO3 Filed as: JOSEPH A. BUZZELLO | 9018 BALBOA BLVD. SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $16 | — | $16 | 0.07% |
| MICHAEL J. MCVAY3 | 8967 CREST VIEW DR. CORONA, CA 92883 | AFLAC | $13 | — | $13 | 0.06% |
| KRISTOPHER KEAHIOLALO3 | 725 KAPIOLANI BLVD. SUITE C302 HONOLULU, HI 96813 | AFLAC | $8 | $3 | $11 | 0.05% |
| MICHAEL C WALKER3 Filed as: MICHAEL JAMES RHODD | 4060 GREEN VALLEY RD. FAIRFIELD, CA 94534 | AFLAC | $9 | — | $9 | 0.04% |
| MICHAEL C WALKER3 Filed as: MICHAEL A. STACHOWIAK | 321 N. CLARK ST. SUITE 625 CHICAGO, IL 60654 | AFLAC | $9 | — | $9 | 0.04% |
| KENNETH G. BARCLAY3 | 1600 ARDMORE AVE. UNIT 424 HERMOSA BEACH, CA 90254 | AFLAC | $8 | — | $8 | 0.03% |
| LAURA SEITZ3 | 2601 PURDUE AVE. LOS ANGELES, CA 90064 | AFLAC | $8 | — | $8 | 0.03% |
| LABAN MATTHEW SPALDING3 | 29404 QUAIL RUN DR. AGOURA HILLS, CA 91301 | AFLAC | $2 | — | $2 | 0.01% |
| LABAN MATTHEW SPALDING3 | 4297 KLUMP AVE. STUDIO CITY, CA 91602 | AFLAC | $2 | — | $2 | 0.01% |
| OLENA K SHEA3 Filed as: OLENA K. SHEA | 3 MITCHELL PL. UNIT 18C NEW YORK, NY 10017 | AFLAC | $2 | — | $2 | 0.01% |
| VICTORIA L FLYNN3 Filed as: VICTORIA HOWARD | 1365 CAMINO PERAL UNIT A MORAGA, CA 94556 | AFLAC | $1 | — | $1 | 0.00% |
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 | 255 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 258 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | AETNA HEALTH, INC. | 158 | $1.7M |
| Dental(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 257 | $228K |
| Vision(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 145 | $160K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 257 | $205K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 257 | $205K |
| Other(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 257 | $254K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 257 | — |
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.