| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 6701 CENTER DRIVE WEST, SUITE 1500 LOS ANGELES, CA 90045 | UNITED HEALTHCARE INSURANCE COMPANY | $72K | — | $72K | 5.47% |
| INTERCARE INSURANCE SOLUTIONS, INC.3 | 5375 MIRA SORRENTO PLACE, SUITE 400 SAN DIEGO, CA 92121 | UNITED HEALTHCARE INSURANCE COMPANY | — | $19K | $19K | 1.40% |
| NASHINA BUSH3 | 16161 VENTURA BOULEVARD, SUITE 421 ENCINO, CA 91436 | AFLAC | $2K | $313 | $2K | 9.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 2393 TOWNSGATE ROAD, SUITE 101 WESTLAKE VILLAGE, CA 91361 | AFLAC | $1K | — | $1K | 5.57% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BOULEVARD, SUITE 740 SHERMAN OAKS, CA 91411 | AFLAC | $839 | $63 | $902 | 3.67% |
| BRIAN G JAEGGI3 Filed as: BRIAN G. JAEGGI | 5112 TOPANGA CANYON BOULEVARD WOODLAND HILLS, CA 91364 | AFLAC | $491 | $63 | $554 | 2.26% |
| MJ INSURANCE3 Filed as: WILLIAM P. HOFTO AND VARIOUS AGENTS | 2910 NEILSON WAY, UNIT 410 SANTA MONICA, CA 90405 | AFLAC | $405 | — | $405 | 1.65% |
| AMY EVANS3 | 14358 MAGNOLIA BOULEVARD APARTMENT 103 SHERMAN OAKS, CA 91423 | AFLAC | $251 | — | $251 | 1.02% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS | 12121 WILSHIRE BOULEVARD SUITE 1225 LOS ANGELES, CA 90025 | AFLAC | $164 | $63 | $227 | 0.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 5345 RIVERSIDE, CA 92517 | VISION SERVICE PLAN | $1K | — | $1K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $969 | $194 | $1K | 12.00% |
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 | 102 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 226 | $1.3M |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 226 | $1.3M |
| Vision | VISION SERVICE PLAN | 84 | $12K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 139 | $10K |
| Short-term disability | AFLAC | 19 | $25K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 226 | $1.3M |
| Other(2 contracts, 2 carriers) | AFLAC | 139 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 226 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.