| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES INC | 437 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | BLUE SHIELD OF CALIFORNIA | $0 | $79K | $79K | 5.26% |
| ACEVES INSURANCE SERVICES INC.3 Filed as: ACEVES INS SERVICES INC | 9959 BROOKSHIRE AVENUE DOWNEY, CA 90240 | AFLAC | $9K | $420 | $10K | 7.92% |
| H THOMSON3 Filed as: H THOMSON AND OTHER AGENTS | 14938 BRANWALL STREET LA MIRADA, CA 90638 | AFLAC | $8K | $0 | $8K | 6.76% |
| JENNIFER DIAZ3 | 1122 WEST HERALD STREET WEST COVINA, CA 91790 | AFLAC | $2K | $98 | $2K | 1.63% |
| ANDRES ORLANDO TRUJILLO3 Filed as: ANDRES TRUJILLO | 21388 MONETA AVENUE CARSON, CA 90745 | AFLAC | $1K | $98 | $2K | 1.24% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONL INS SERVICES INC | 2393 TOWNSGATE ROAD, SUITE 101 WESTLAKE VILLAGE, CA 91361 | AFLAC | $1K | $0 | $1K | 1.12% |
| THOMPSON & ASSOCIATES INSURANCE INC3 Filed as: THOMPSON AND ASSOC INS INC | 2743 SOUTH SANDPIPER AVENUE ONTARIO, CA 91761 | AFLAC | $799 | $0 | $799 | 0.64% |
| BETTY MURDOCK3 | 7216 TESSERA PARKWAY LAGO VISTA, TX 78645 | AFLAC | $522 | $0 | $522 | 0.42% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES | 600 CORPORATE POINTEE, SUITE 600 CULVER CITY, CA 90230 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $0 | $6K | 4.91% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL LIMITED | 150 NORTH RIVERSIDE PLAZA SUITE 1700 CHICAGO, IL 60606 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $6K | $6K | 4.87% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES | PO BOX 2158 RIVERSIDE, CA 92516 | VISION SERVICE PLAN | $1K | $0 | $1K | 5.94% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES | PO BOX 5345 RIVERSIDE, CA 92517 | CALIFORNIA DENTAL NETWORK, INC. | $399 | $0 | $399 | 9.99% |
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 | 183 | 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) | 183 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 198 | $1.5M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 257 | $121K |
| Vision | VISION SERVICE PLAN | 128 | $17K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 257 | $117K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 198 | $1.5M |
| Other(2 contracts, 2 carriers) | AFLAC | 257 | $242K |
| 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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.