| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: AP BENEFIT ADVISORS, JACOBS CO | 7075 SAMUEL MORSE DR, STE 210 COLUMBIA, MD 21046 | DOMINION NATIONAL | $2K | $0 | $2K | 10.00% |
| THE JACOBS COMPANY INC3 Filed as: THE JACOBS COMPANY | 7075 SAMUEL MORSE DE, STE 120 COLUMBIA, MD 21046 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $1K | $3K | 15.00% |
| AP BENEFITS ADVISORS LLC3 | 7075 SAMUEL MORSE DE, STE 120 COLUMBIA, MD 21046 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $877 | $0 | $877 | 4.50% |
| BENEFITMALL3 Filed as: BENEFITMALL INC | 501 FAIRMOUNT AVE, STE 400 TOWSON, MD 21286 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $585 | $585 | 3.00% |
| THE JACOBS COMPANY INC3 Filed as: THE JACOBS COMPANY, INC | 7075 SAMUEL MORSE DR STE 120 COLUMBIA, MD 21046 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $379 | $271 | $650 | 11.37% |
| AP BENEFITS ADVISORS LLC3 | 7075 SAMUEL MORSE DR STE 120 COLUMBIA, MD 21046 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $193 | $0 | $193 | 3.38% |
| BENEFITMALL3 Filed as: BENEFITMALL INC | 501 FAIRMOUNT AVE STE 400 TOWSON, MD 21286 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $172 | $172 | 3.01% |
| THE JACOBS COMPANY INC3 Filed as: THE JACOBS COMPANY, INC | 7075 SAMUEL MORSE DR STE 120 COLUMBIA, MD 21046 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $516 | $328 | $844 | 16.22% |
| AP BENEFITS ADVISORS LLC3 | 7075 SAMUEL MORSE DR STE 120 COLUMBIA, DC 21046 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $246 | $0 | $246 | 4.73% |
| BENEFITMALL3 Filed as: BENEFITMALL INC | 501 FAIRMOUNT AVE STE 400 TOWSON, MD 21286 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $156 | $156 | 3.00% |
| THE JACOBS COMPANY INC3 Filed as: THE JACOBS COMPANY, INC | 7075 SAMUEL MORSE DR STE 120 COLUMBIA, MD 21046 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $279 | $218 | $497 | 11.62% |
| AP BENEFITS ADVISORS LLC3 | 7075 SAMUEL MORSE DR STE 120 COLUMBIA, MD 21046 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $142 | $0 | $142 | 3.32% |
| BENEFITMALL3 Filed as: BENEFITMALL INC | 501 FAIRMOUNT AVE STE 400 TOWSON, MD 21286 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $127 | $127 | 2.97% |
| THE JACOBS COMPANY INC3 Filed as: THE JACOBS COMPANY. INC | 7075 SAMUEL MORSE DR STE 120 COLUMBIA, MD 21046 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $412 | $207 | $619 | 15.35% |
| AP BENEFITS ADVISORS LLC3 | 7075 SAMUEL MORSE DR STE 120 COLUMBIA, MD 21046 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $193 | $0 | $193 | 4.79% |
| BENEFITMALL3 Filed as: BENEFITMALL INC | 501 FAIRMOUNT AVE STE 400 TOWSON, MD 21286 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $121 | $121 | 3.00% |
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 | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DOMINION NATIONAL | 81 | $23K |
| Vision | DOMINION NATIONAL | 81 | $23K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 102 | $4K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 12 | $6K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 102 | $19K |
| Other(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 102 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 102 | — |
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.