| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC. | 706 N CLINTON STREET SYRACUSE, NY 13204 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $110K | — | $110K | 1.53% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | — | $76K | $76K | 1.05% |
| ONEGROUP NY INC3 | 706 NORTH CLINTON ST SYRACUSE, NY 13204 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $71K | — | $71K | 1.62% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD HAUPAUGE, NY 11788 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | — | $46K | $46K | 1.04% |
| CAMMACK HEALTH LLC3 | 199 WATER ST 9TH FL NEW YORK, NY 10038 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $0 | — | $0 | 0.00% |
| EMPLOYEE FAMILY PROTECTION INC3 | MICHAEL STEPNOWSKI PO BOX 1237 GLASTONBURY, CT 06033 | FIRST UNUM LIFE INSURANCE COMPANY | $95K | $5K | $101K | 6.96% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | — | DELTA DENTAL OF NEW YORK | $43K | — | $43K | 9.58% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD 2ND FLOOR HAUPPAUGE, NY 11788 | HARTFORD LIFE AND ACCIDENT | — | $11K | $11K | 5.00% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC. | 706 N CLINTON STREET SYRACUSE, NY 13204 | FIRST UNUM LIFE INSURANCE COMPANY | $6K | — | $6K | 5.01% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | — | $5K | 5.00% |
| BENEFIT ADVISORS NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $754 | $754 | 0.82% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC. | 706 N CLINTON STREET SYRACUSE, NY 13204 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| ONEGROUP NY INC3 | 706 NORTH CLINTON ST SYRACUSE, NY 13204 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $6K | — | $6K | 6.50% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | — | $4K | $4K | 4.64% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC. | 706 N CLINTON STREET SYRACUSE, NY 13204 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $5K | — | $5K | 6.53% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | — | $4K | $4K | 5.25% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | — | DELTA DENTAL OF NEW YORK | $7K | — | $7K | 10.55% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | DBA AON CONSULTING INC NJ 30 WATERSIDE DRIVE FARMINGTON, CT 06032 | LIFE INSURANCE COMPANY OF BOSTON AND NEW YORK | $4K | — | $4K | 6.43% |
| THE FARMINGTON COMPANY3 Filed as: THE FARMINGTON CO. | JILL BORRELL PO BOX 527 FARMINGTON, CT 06034 | LIFE INSURANCE COMPANY OF BOSTON AND NEW YORK | $18 | — | $18 | 0.03% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC. | 706 N CLINTON STREET SYRACUSE, NY 13204 | FIRST UNUM LIFE INSURANCE COMPANY | $1K | — | $1K | 4.96% |
| JOSEPH YEBOAH3 | JP PLANNING GROUP/AXA ADVISORS FORT LEE, NJ 07024 | FIRST UNUM LIFE INSURANCE COMPANY | $1K | — | $1K | 5.21% |
| SAJI PHILIP3 | 2 GRAMERCY RD MONMOUTH JUNCTION, NJ 08852 | FIRST UNUM LIFE INSURANCE COMPANY | $320 | — | $320 | 1.55% |
| ADAMA L SANOGO3 | 3345 92ND STREET APT 4J JACKSON HEIGHTS, NY 11372 | FIRST UNUM LIFE INSURANCE COMPANY | $132 | — | $132 | 0.64% |
| ERC OF NY, INC.3 Filed as: ERC OF NY | 400 POST AVE STE 210 WESTBURY, NY 11590 | FIRST UNUM LIFE INSURANCE COMPANY | $29 | — | $29 | 0.14% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC. | 706 N CLINTON STREET SYRACUSE, NY 13204 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $515 | — | $515 | 5.00% |
| BENEFIT ADVISORS NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $79 | $79 | 0.77% |
| EMPLOYEE FAMILY PROTECTION INC3 | MICHAEL STEPNOWSKI PO BOX 1237 GLASTONBURY, CT 06033 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $878 | $121 | $999 | 22.17% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $202 | — | $202 | 5.01% |
| BENEFIT ADVISORS NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $35 | $35 | 0.87% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC. | 706 N CLINTON STREET SYRACUSE, NY 13204 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | — | $0 | 0.00% |
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 | 1,089 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 44 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 253 | $11.6M |
| Dental(4 contracts, 2 carriers) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 476 | $12.1M |
| Vision(2 contracts) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 253 | $11.6M |
| Life insurance(8 contracts, 6 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 2,022 | $1.9M |
| Short-term disability(3 contracts, 3 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 2,022 | $1.5M |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 744 | $311K |
| Other(8 contracts, 4 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 2,022 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,022 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.