| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | HEALTH NET | $73K | $0 | $73K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CA INSURANCE | PO BOX 2158 RIVERSIDE, CA 92516 | KAISER FOUNDATION HEALTH PLAN INC | $33K | $1K | $34K | 4.11% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SERVICES | 3390 UNIVERSITY AVENUE SUITE 300 RIVERSIDE, CA 92501 | UNITED CONCORDIA INSURANCE COMPANY | $13K | $0 | $13K | 10.79% |
| GLOBAL SHIELD INSURANCE AGENCY3 | 511 EAST 1ST STREET, SUITE H TUSTIN, CA 92780 | AFLAC | $14K | $0 | $14K | 20.17% |
| JASON DAVIS INSURANCE SERVICES INC3 | 8260 EAST ELLERFORD STREET LONG BEACH, CA 90808 | AFLAC | $12K | $0 | $12K | 18.48% |
| NICHOLAS K. GREEN3 | 4195 NORTH VIKING WAY, SUITE 120 LONG BEACH, CA 90808 | AFLAC | $3K | $0 | $3K | 3.93% |
| MJ INSURANCE3 Filed as: JOSE R. VELEZ AND VARIOUS AGENTS | 7627 ALLENGROVE STREET DOWNEY, CA 90240 | AFLAC | $2K | $0 | $2K | 2.96% |
| CLAUDIA P BABA3 Filed as: CLAUDIA P. BABA | PO BOX 4831 ORANGE, CA 92863 | AFLAC | $2K | $0 | $2K | 2.51% |
| JARRETT JAMES PAHOA3 | 4489 LARWIN AVENUE CYPRESS, CA 90630 | AFLAC | $1K | $0 | $1K | 1.89% |
| ANGELA ANTONIA MENDEZ3 | 1561 WEST 227TH STREET TORRANCE, CA 90501 | AFLAC | $1K | $0 | $1K | 1.66% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $4K | $0 | $4K | 10.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CA INSURANCE | 3390 UNIVERSITY AVENUE SUITE 300 RIVERSIDE, CA 92501 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $2K | $4K | 12.15% |
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 | 319 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 319 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 158 | $2.3M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 527 | $122K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 459 | $43K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 339 | $101K |
| Short-term disability | AFLAC | 121 | $67K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH NET | 158 | $2.3M |
| Other(2 contracts, 2 carriers) | AFLAC | 339 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 527 | — |
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.