| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 4695 MACARTHUR COURT, SUITE 600 NEWPORT BEACH, CA 92660 | AETNA LIFE INSURANCE COMPANY | $239K | $61K | $300K | 2.29% |
| TBS AGENCY INC3 | 1776 PLEASANT PLAIN ROAD FAIRFIELD, IA 52556 | METROPOLITAN LIFE INSURANCE COMPANY | $48K | — | $48K | 3.80% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 4695 MACARTHUR COURT, SUITE 600 NEWPORT BEACH, CA 92660 | AETNA HEALTH INC | $8K | — | $8K | 2.03% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 4695 MACARTHUR COURT, SUITE 600 NEWPORT BEACH, CA 92660 | VISION SERVICE PLAN | $3K | — | $3K | 2.24% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 4695 MACARTHUR COURT, SUITE 600 NEWPORT BEACH, CA 92660 | HARTFORD LIFE AND ACCIDENT | $4K | $10K | $14K | 16.83% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 4695 MACARTHUR COURT, SUITE 600 NEWPORT BEACH, CA 92660 | METLIFE LEGAL PLANS | $6K | $619 | $7K | 9.54% |
| USI INSURANCE SERVICES LLC3 | 1787 SENTRY PKWY. W, SUITE 300 BLUE BELL, PA 19422 | METLIFE LEGAL PLANS | — | $31 | $31 | 0.04% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $71 | $3K | 8.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SVCS NATIONAL INC | PO BOX 61007 VIRGINA BEACH, CA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | — | $573 | $573 | 1.55% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SVCS NATIONAL INC | 1787 SENTRY PKWY. W, SUITE 300 BLUE BELL, PA 19422 | METROPOLITAN LIFE INSURANCE COMPANY | — | $36 | $36 | 0.10% |
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 | 625 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 635 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 1,697 | $13.5M |
| Dental | AETNA LIFE INSURANCE COMPANY | 1,697 | $13.1M |
| Vision | VISION SERVICE PLAN | 621 | $125K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 643 | $1.3M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 645 | $84K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 645 | $84K |
| Prescription drug(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 1,697 | $13.5M |
| Other(3 contracts, 3 carriers) | METLIFE LEGAL PLANS | 652 | $126K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,697 | — |
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.