| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 4371 LATHAM STREET, SUIT 101 RIVERSIDE, CA 92501 | CALIFORNIA PHYSICIANS SERVICE | $20 | $324K | $324K | 4.28% |
| DIGITAL INSURANCE LLC3 | UNKNOWN BURBANK, CA 91505 | DELTA DENTAL OF CALIFORNIA | $40K | $0 | $40K | 6.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 600 CORPORATE POINTE, SUITE 600 CULVER CITY, CA 90230 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $38K | $0 | $38K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 2000 SOUTH COLORADO BOULEVARD TOWER 2, SUITE 150 DENVER, CO 80222 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $25K | $25K | 6.53% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 2393 TOWNGATE ROAD, SUITE 101 WESTLAKE VILLAGE, CA 91361 | AFLAC | $12K | $0 | $12K | 7.55% |
| MJ INSURANCE3 Filed as: RICHARD J. KUNZ AND VARIOUS AGENTS | 601 MONTGOMERY STREET, SUITE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $4K | $10 | $4K | 2.64% |
| DINORAH ROSSANA DEVALLY3 | 361 MISTY TRAILS PLACE SIMI VALLEY, CA 93065 | AFLAC | $3K | $794 | $4K | 2.44% |
| AMY EVANS3 | 4932 NORTH MAYWOOD AVENUE LOS ANGELES, CA 90041 | AFLAC | $3K | $0 | $3K | 2.05% |
| YOLANDA JOY RICHMAN3 | 10000 NEVADA AVENUE CHATWORTH, CA 91311 | AFLAC | $2K | $363 | $2K | 1.53% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $1K | $195 | $2K | 1.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 2029 CENTURY PARK EAST, SUITE 210 LOS ANGELES, CA 90067 | AFLAC | $607 | $0 | $607 | 0.39% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $14K | $0 | $14K | 10.82% |
| DIGITAL INSURANCE LLC3 | UNKNOWN BURBANK, CA 91505 | DELTA DENTAL OF CALIFORNIA | $8K | $0 | $8K | 10.01% |
| UNKNOWN3 | UNKNOWN BURBANK, CA 91505 | HOLMAN PROFESSIONAL COUNSELING CENTERS | $1K | $0 | $1K | 5.00% |
| CHRISTA G AUFDEMBERG INC3 Filed as: CHRISTA G. AUFDEMBERG INC. | 13102 BRITTANY WOOD DRIVE TUSTIN, CA 92780 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $790 | $0 | $790 | 13.34% |
| JOHN P. LONDONO3 | 28326 ATLEY COURT SAUGUS, CA 91350 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $225 | $0 | $225 | 3.80% |
| LONDONO MILLER BENEFITS INC3 Filed as: LONDONO MILLER BENEFITS INC. | 28326 ATLEY COURT SAUGUS, CA 91350 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $125 | $0 | $125 | 2.11% |
| SANDRA SIMS3 Filed as: SANDRA ALLEN | 501 AGUA PLACE SEAL BEACH, CA 90740 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $81 | $0 | $81 | 1.37% |
| AMY EVANS3 | 1751 COLORADO BOULEVARD LOS ANGELES, CA 90041 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $23 | $0 | $23 | 0.39% |
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 | 761 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 78 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 847 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS SERVICE | 1,295 | $7.6M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 1,256 | $745K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 1,405 | $130K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 926 | $382K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 926 | $382K |
| Prescription drug | CALIFORNIA PHYSICIANS SERVICE | 1,295 | $7.6M |
| Other(4 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 926 | $564K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,405 | — |
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.