| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 4371 LATHAM STREET SUITE 101 RIVERSIDE, CA 92501 | CALIFORNIA PHYSICIANS SERVICE | $207K | $19K | $226K | 4.36% |
| KAGAN INSURANCE AGENCY, INC.3 Filed as: KAGAN INSURANCE | 6701 WEST CENTER DRIVE, SUITE 1500 LOS ANGELES, CA 90045 | CALIFORNIA PHYSICIANS SERVICE | -$124 | — | -$124 | -0.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | UNKNOWN BURBANK, CA 91505 | DELTA DENTAL OF CALIFORNIA | $18K | — | $18K | 3.71% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 5405 MOREHOUSE DRIVE, SUITE 340 DAS DIEGO, CA 92121 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $29K | $13K | $42K | 14.46% |
| MJ INSURANCE3 Filed as: WILLIAM P. HOFTO AND VARIOUS AGENTS | 2910 NEILSON WAY, UNIT 410 SANTA MONICA, CA 90405 | AFLAC | $4K | $517 | $4K | 4.55% |
| AMY EVANS3 | 14358 MAGNOLIA BOULEVARD APARTMENT 103 SHERMAN OAKS, CA 91423 | AFLAC | $4K | — | $4K | 3.83% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 2393 TOWNGATE ROAD, SUITE 101 WESTLAKE VILLAGE, CA 91361 | AFLAC | $2K | — | $2K | 2.50% |
| NASINA BUSH3 | 16161 VENTURA BOULEVARD SUITE 421 ENCINO, CA 91436 | AFLAC | $2K | — | $2K | 2.19% |
| RICHARD J KUNZ3 Filed as: RICHARD J. KUNZ | 351 CALIFORNIA STREET, SUITE 450 SAN FRANCISCO, CA 94104 | AFLAC | $2K | $77 | $2K | 1.77% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BOULEVARD SUITE 740 SHERMAN OAKS, CA 91411 | AFLAC | $1K | $25 | $1K | 1.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 2029 CENTURY PARK EAST, SUITE 210 LOS ANGELES, CA 90067 | AFLAC | $764 | — | $764 | 0.78% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 4371 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | EYEMED VISION CARE | $7K | — | $7K | 9.07% |
| UNKNOWN3 | UNKNOWN BURBANK, CA 91505 | HOLMAN PROFESSIONAL COUNSELING CENTERS | $727 | — | $727 | 5.00% |
| CHRISTA G AUFDEMBERG INC4 Filed as: CHRISTA G. AUFDEMBERG INC. | 13102 BRITTANY WOOD DRIVE TUSTIN, CA 92780 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $791 | — | $791 | 10.05% |
| SANDRA SIMS4 Filed as: SANDRA ALLEN | 501 AGUA PLACE SEAL BEACH, CA 90740 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $321 | — | $321 | 4.08% |
| AMY EVANS4 | 5805 SEPULVEDA BOULEVARD SUITE 740 SHERMAN OAKS, CA 91411 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $163 | — | $163 | 2.07% |
| KYLE M. STAFFORD4 | 13102 BRITTANY WOODS DRIVE TUSTIN, CA 92780 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $26 | — | $26 | 0.33% |
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 | 688 | 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) | 688 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS SERVICE | 1,005 | $5.2M |
| Dental | DELTA DENTAL OF CALIFORNIA | 1,070 | $483K |
| Vision | EYEMED VISION CARE | 1,053 | $72K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 688 | $289K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 688 | $289K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 688 | $289K |
| Prescription drug | CALIFORNIA PHYSICIANS SERVICE | 1,005 | $5.2M |
| Other(4 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 688 | $409K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,070 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.