| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAY E ABRAMOWITZ3 | 1160 KANE CONSOURSE, #305 MIAMI BEACH, FL 33141 | BLUECROSS BLUESHIELD OF SOUTH CAROLINA | $24K | — | $24K | 3.64% |
| JAY E ABRAMOWITZ3 | 1160 KANE CONCOURSE #305 MIAMI BEACH, FL 33141 | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | $2K | — | $2K | 4.57% |
| PEARL BENEFITS GROUP INC3 Filed as: PEARL BENEFITS GROUP | 1101 99TH ST APT 6 BAY HARBOR ISLANDS, FL 33154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 9.69% |
| JENNINGS INSURANCE SERVICES5 | 10524 MOSS PARK #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 8.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 1027 CLEARWATER, FL 33757 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 5.31% |
| PEARL BENEFITS GROUP INC3 Filed as: PEARL BENEFITS GROUP | 1101 99TH ST APT 6 BAY HARBOR ISLANDS, FL 33154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 9.50% |
| JENNINGS INSURANCE SERVICES5 | 10524 MOSS PARK #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 8.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 1027 CLEARWATER, FL 33757 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $740 | — | $740 | 5.50% |
| PEARL BENEFITS GROUP INC3 Filed as: PEARL BENEFITS GROUP | 1101 99TH ST APT 6 BAY HARBOR ISLANDS, FL 33154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.01% |
| JENNINGS INSURANCE SERVICES5 | 10524 MOSS PARK #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 8.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 1027 CLEARWATER, FL 33757 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $647 | — | $647 | 4.99% |
| THE SOUTHERN REGION LLC3 Filed as: THE SOUTHERN REGION, LLC | 7313 MERCHANT COURT SARASOTA, FL 34240 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $944 | — | $944 | 9.17% |
| PEARL BENEFITS GROUP INC3 Filed as: PEARL BENEFITS GROUP, INC. | 1101 99TH STREET #6 BAY HARBOR ISLANDS, FL 33154 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $549 | — | $549 | 5.33% |
| LEADING EDGE BENEFIT ADVISORS LLC3 | 12450 BRANTLEY COMMONS CT FORT MYERS, FL 33907 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $275 | — | $275 | 2.67% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 12450 BRANTLEY COMMONS CT FORT MYERS, FL 33907 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $48 | — | $48 | 0.47% |
| JENNINGS INSURANCE SERVICES3 | 10524 MOSS PARK #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $959 | $959 | 10.00% |
| PEARL BENEFITS GROUP INC3 Filed as: PEARL BENEFITS GROUP | 1101 99TH ST APT 6 BAY HARBOR ISLANDS, FL 33154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $942 | — | $942 | 9.82% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 1027 CLEARWATER, FL 33757 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $497 | — | $497 | 5.18% |
| JAY E ABRAMOWITZ3 | 1160 KANE CONCOURSE #305 MIAMI BEACH, FL 33141 | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | $225 | — | $225 | 4.68% |
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 | 159 | 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) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF SOUTH CAROLINA | 80 | $657K |
| Dental | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | 84 | $39K |
| Vision | BLUE CROSS BLUE SHIELD OF SOUTH CAROLINA | 80 | $5K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 139 | $23K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 53 | $29K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 25 | $13K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 139 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 139 | — |
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.