| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | AETNA HEALTH OF CALIFORNIA INC. | $22K | $5K | $27K | 4.36% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LIMITED | 100 SUNNYSIDE BOULEVARD WOODBURY, NY 11797 | AETNA HEALTH OF CALIFORNIA INC. | $4K | $0 | $4K | 0.60% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CA INS. SVCS. | 4371 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | GUARDIAN | $13K | $5K | $18K | 13.67% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 2393 TOWNSGATE ROAD, SUITE 101 WESTLAKE VILLAGE, CA 91361 | AFLAC | $1K | $5K | $6K | 30.96% |
| MJ INSURANCE3 Filed as: BRIAN G JAEGGI AND VARIOUS AGENTS | 15607 WEST LILLI WAY VAN NUYS, CA 91406 | AFLAC | $687 | $0 | $687 | 3.29% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $418 | $7 | $425 | 2.03% |
| YOLANDA JOY RICHMAN3 | 10000 NEVADA AVENUE CHATSWORTH, CA 91311 | AFLAC | $209 | $36 | $245 | 1.17% |
| AMY EVANS3 | 14358 MAGNOLIA BOULEVARD, SUITE 103 SHERMAN OAKS, CA 91423 | AFLAC | $212 | $0 | $212 | 1.01% |
| DINORAH ROSSANA DEVALLY3 | 361 MISTY TRAILS PLACE SIMI VALLEY, CA 93065 | AFLAC | $192 | $7 | $199 | 0.95% |
| NASHINA BUSH3 | 7555 DONNA AVENUE RESEDA, CA 91335 | AFLAC | $132 | $0 | $132 | 0.63% |
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 | 140 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA HEALTH OF CALIFORNIA INC. | 87 | $613K |
| Dental | GUARDIAN | 141 | $129K |
| Vision | GUARDIAN | 141 | $129K |
| Life insurance | GUARDIAN | 141 | $129K |
| Short-term disability | AFLAC | 8 | $21K |
| Prescription drug | AETNA HEALTH OF CALIFORNIA INC. | 87 | $613K |
| Other | GUARDIAN | 141 | $129K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 141 | — |
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.