| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 330 MADISON AVENUE 7TH FLOOR NEW YORK, NY 10017 | AETNA LIFE INSURANCE COMPANY | $184K | $556 | $185K | 1.59% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC | 4695 MACARTHUR COURT, SUITE 600 NEWPORT BEACH, CA 92660 | AETNA LIFE INSURANCE COMPANY | $91K | $88 | $91K | 0.79% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO ADVISORS LLC | PO BOX 2700 WORCHESTER, MA 01613 | METROPOLITAN LIFE INSURANCE COMPANY | $95K | $27 | $95K | 9.24% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 330 MADISON AVENUE 7TH FLOOR NEW YORK, NY 10017 | AETNA HEALTH INC | $7K | — | $7K | 1.49% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC | 4695 MACARTHUR COURT, SUITE 600 NEWPORT BEACH, CA 92660 | AETNA HEALTH INC | $3K | — | $3K | 0.65% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SVCS NATIONAL, INC | PO BOX 39000 SAN FRANCISCO, CA 94139 | VISION SERVICE PLAN | $2K | — | $2K | 1.66% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC | 4695 MACARTHUR COURT, SUITE 600 NEWPORT BEACH, CA 92660 | VISION SERVICE PLAN | $879 | — | $879 | 0.72% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC | 4695 MACARTHUR COURT, SUITE 600 NEWPORT BEACH, CA 92660 | HYATT LEGAL PLANS | $3K | — | $3K | 5.01% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 21250 HAWTHORNE BLVD, SUITE 600 TORRANCE, CA 90503 | HYATT LEGAL PLANS | $3K | — | $3K | 4.99% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 1018 W 9TH AVE KING OF PRUSSIA, PA 19406 | HYATT LEGAL PLANS | — | $84 | $84 | 0.16% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 21250 HAWTHORNE BLVD SUITE 600 TORRANCE, CA 90503 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $57 | $2K | 6.86% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 1018 W 9TH AVE KING OF PRUSSIA, PA 19406 | METROPOLITAN LIFE INSURANCE COMPANY | — | $645 | $645 | 1.82% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SVCS NATIONAL, INC | 21250 HAWTHORNE BLVD, SUITE 600 TORRANCE, CA 90503 | BLUE CROSS OF CALIFORNIA | $102 | — | $102 | 0.54% |
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 | 668 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 677 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 1,795 | $12.1M |
| Dental | AETNA LIFE INSURANCE COMPANY | 1,795 | $11.6M |
| Vision | VISION SERVICE PLAN | 684 | $122K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 659 | $1.0M |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 1,795 | $11.6M |
| Long-term disability | AETNA LIFE INSURANCE COMPANY | 1,795 | $11.6M |
| Prescription drug(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 1,795 | $12.1M |
| Other(3 contracts, 3 carriers) | HYATT LEGAL PLANS | 670 | $108K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,795 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.