| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EMPLOYERS RESOURCE GROUP FINANCIAL3 | 3300 SEPULVEDA BOULEVARD TORRANCE, CA 90505 | AETNA | $40K | $0 | $40K | 2.97% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 6701 CENTER DRIVE WEST SUITE 1500 LOS ANGELES, CA 90045 | AETNA | $13K | $0 | $13K | 0.99% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 6701 CENTER DRIVE WEST SUITE 1500 LOS ANGELES, CA 90045 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | $0 | $5K | 4.40% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 300 NORTH LASALLE STREET 17TH FLOOR CHICAGO, IL 60654 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $2K | $2K | 1.66% |
| EMPLOYERS RESOURCE GROUP FINANCIAL3 | 3300 SEPULVEDA BOULEVARD TORRANCE, CA 90505 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.42% |
| ACEVES INSURANCE SERVICES INC.3 Filed as: ACEVES INSURANCE SERVICES, INC. | 9959 BROOKSHIRE AVENUE DOWNEY, CA 90240 | AFLAC | $6K | $205 | $6K | 6.49% |
| SBHS LIFE AGENCY AND OTHER AGENTS3 | 201 PLAZA 2 7TH FLOOR JERSEY CITY, NJ 07311 | AFLAC | $4K | $15 | $4K | 4.52% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES INC. | 6701 CENTER DRIVE WEST SUITE 1500 LOS ANGELES, CA 90045 | AFLAC | $3K | $0 | $3K | 2.72% |
| CASSANDRA GREEN3 | 10541 CALLE LEE SUITE 125 LOS ALAMITOS, CA 90720 | AFLAC | $800 | $37 | $837 | 0.84% |
| H THOMPSON3 | 65 PINE AVENUE SUITE 102 LONG BEACH, CA 90802 | AFLAC | $788 | $0 | $788 | 0.79% |
| BETTY MURDOCK3 | 7216 TESSERA PARKWAY LAGO VISTA, TX 78645 | AFLAC | $781 | $0 | $781 | 0.79% |
| RUSSELL G LAKE JR3 Filed as: RUSSELL LAKE JR | 29309 BEACHCOMBER DRIVE SUN CITY, CA 92585 | AFLAC | $603 | $0 | $603 | 0.61% |
| EMPLOYERS RESOURCE GROUP FINANCIAL3 | 3300 SEPULVEDA BOULEVARD TORRANCE, CA 90505 | AETNA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 6701 CENTER DRIVE WEST SUITE 1500 LOS ANGELES, CA 90045 | AETNA LIFE INSURANCE COMPANY | $690 | $0 | $690 | 1.00% |
| EMPLOYERS RESOURCES GROUP FINA3 Filed as: EMPLOYERS RESOURCES GROUP | FINANCIAL AND INS SVCS. INC. 3300 SEPULVEDA BOULEVARD TORRANCE, CA 90505 | VISION SERVICE PLAN | $488 | $0 | $488 | 3.33% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 5345 RIVERSIDE, CA 92517 | VISION SERVICE PLAN | $431 | $0 | $431 | 2.94% |
| EMPLOYERS RESOURCE3 Filed as: EMPLOYERS RESOURCE GROUP | 3300 SEPULVEDA BOULEVARD TORRANCE, CA 90505 | CALIFORNIA DENTAL | $216 | $0 | $216 | 5.58% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | P O BOX 2158 RIVERSIDE, CA 92516 | CALIFORNIA DENTAL | $171 | $0 | $171 | 4.41% |
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 | 113 | 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) | 113 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA | 182 | $1.4M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 196 | $112K |
| Vision | VISION SERVICE PLAN | 96 | $15K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 196 | $108K |
| Prescription drug(2 contracts, 2 carriers) | AETNA | 182 | $1.4M |
| Other(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 196 | $208K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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.