| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY ROAD SUITE 403 WOODBURY, NY 11797 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | — | $7K | $7K | 2.20% |
| JANNI AND ASSOCIATES INC3 | 732 SMITHTOWN BYPASS SMITHTOWN, NY 11787 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $2K | — | $2K | 3.22% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | WESCO INSURANCE COMPANY | $3K | — | $3K | 6.55% |
| JANNI AND ASSOCIATES INC3 | 732 SMITHTOWN BYPASS SMITHTOWN, NY 11787 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $4K | — | $4K | 9.05% |
| JANNI AND ASSOCIATES INC3 | 732 SMITHTOWN BYPASS SMITHTOWN, NY 11787 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $2K | — | $2K | 4.32% |
| JANNI AND ASSOCIATES INC3 Filed as: JANNI AND ASSOCIATES, INC | 732 SMITHTOWN BYPASS SMITHTOWN, NY 11787 | AFLAC | $1K | — | $1K | 2.90% |
| LORI ANN LOMBARDO3 | 15 LACEBARK LANE MEDFORD, NY 11763 | AFLAC | $592 | $170 | $762 | 2.18% |
| GFM CORP3 | 1339 BELL BOULEVARD BAYSIDE, NY 11360 | AFLAC | $639 | $35 | $674 | 1.93% |
| GFM CORP3 | 2 HALYARD COURT COLD SPRING HARBOR, NY 11724 | AFLAC | $455 | — | $455 | 1.30% |
| SIMONE HIRSCH3 | 7 MAPLE RUN DRIVE JERICHO, NY 11753 | AFLAC | $370 | — | $370 | 1.06% |
| RICHARD PETERSON3 | 14107 20TH AVENUE SUITE 507 WHITESTONE, NY 11357 | AFLAC | $274 | $35 | $309 | 0.88% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $228 | — | $228 | 0.65% |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $160 | — | $160 | 0.46% |
| JACQUES P DAVID CORPORATION3 | 125 JERICHO TURNPIKE SUITE 201 JERICHO, NY 11753 | AFLAC | $149 | — | $149 | 0.43% |
| JACQUES P DAVID CORPORATION3 | 35 PINELAWN ROAD SUITE 190 MELVILLE, NY 11747 | AFLAC | $118 | — | $118 | 0.34% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $22 | — | $22 | 0.06% |
| PETER LOMBARDO3 | 15 LACEBARK LANE MEDFORD, NY 11763 | AFLAC | $15 | $4 | $19 | 0.05% |
| TIMOTHY C CAVAZOS3 | 11551 NUCKOLS ROAD SUITE P GLEN ALLEN, VA 23059 | AFLAC | $17 | — | $17 | 0.05% |
| HELEN ELAINE KESKINEN3 | 4312 205TH STREET #3 BAYSIDE, NY 11361 | AFLAC | $13 | — | $13 | 0.04% |
| DAVID RISPLER3 Filed as: J DAVID AND ASSOCIATES INC | 125 JERICHO TURNPIKE SUITE 201 JERICHO, NY 11753 | AFLAC | $12 | — | $12 | 0.03% |
| THOMAS B HIRSCH3 | 9 BROWN ROAD GREAT NECK, NY 11024 | AFLAC | $10 | — | $10 | 0.03% |
| DAVID RISPLER3 Filed as: J DAVID AND ASSOCIATES INC | 35 PINELAWN ROAD SUITE 190 MELVILLE, NY 11747 | AFLAC | $10 | — | $10 | 0.03% |
| LIBERTY LIFE LLC3 Filed as: LIBERTY LIFE LLC SATESH N. SINGH | 127 16 LIBERTY AVENUE SOUTH RICHMOND HILL, NY 11419 | AFLAC | $1 | — | $1 | 0.00% |
| GAVIN MEIER3 | 14107 20TH AVENUE SUITE 507 WHITESTONE, NY 11357 | AFLAC | $267 | — | $267 | 1.11% |
| JACQUES P DAVID CORPORATION3 Filed as: JACQUES P. DAVID | 35 PINELAWN ROAD SUITE 190 MELVILLE, NY 11747 | AFLAC | $212 | — | $212 | 0.88% |
| ROMAN CARRASCO3 | 40 NORTHEAST LOOP 410 SUITE 408 SAN ANTONIO, TX 78216 | AFLAC | $209 | — | $209 | 0.87% |
| SHARON S. WIENER3 Filed as: SHARON S WIENER | 8833 PICKFORD STREET LOS ANGELES, CA 90035 | AFLAC | $199 | — | $199 | 0.83% |
| DAISSYS M ESTRADA3 | 7931 NORTHWEST 168TH TERRACE MIAMI LAKES, FL 33016 | AFLAC | $147 | — | $147 | 0.61% |
| CHRISTIAN M TULLY3 | 154 LAUREL ROAD EAST NORTHPORT, NY 11731 | AFLAC | $106 | — | $106 | 0.44% |
| RONALD INFANTINO3 | 9380 SOUTHWEST 170TH PATH APARTMENT 8-102 MIAMI, FL 33196 | AFLAC | $79 | — | $79 | 0.33% |
| QIANA D COCHRAN3 | 1313 FITZER DRIVE JOLIET, IL 60431 | AFLAC | $69 | — | $69 | 0.29% |
| MARILYN MOORMAN3 | 11913 SUNFLOWER LANE RICHMOND, VA 23236 | AFLAC | $62 | — | $62 | 0.26% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER | 11835 QUEENS BOULEVARD SUITE 1403 FOREST HILLS, NY 11375 | AFLAC | $56 | — | $56 | 0.23% |
| VSB AND ASSOCIATES INC3 | 10104 HART BRANCH CIRCLE ORLANDO, FL 32832 | AFLAC | $38 | — | $38 | 0.16% |
| BRENT FORD3 Filed as: BRENT A FORD | 40 NORTHEAST LOOP 410 SUITE 408 SAN ANTONIO, TX 78216 | AFLAC | $37 | — | $37 | 0.15% |
| GEOFFREY MALAIS3 | 16800 DEVONSHIRE STREET SUITE 220 GRANADA HILLS, CA 91344 | AFLAC | $35 | — | $35 | 0.15% |
| WENDY G THORNTON3 | 1712 WESTHAVEN DRIVE RALEIGH, NC 27607 | AFLAC | $33 | — | $33 | 0.14% |
| LINDA HECKER3 | 3616 SUN EAGLE LANE BRADENTON, FL 34210 | AFLAC | $32 | — | $32 | 0.13% |
| BRYAN NESTER3 | 1007 DUCHESS COURT LIMERICK, PA 19468 | AFLAC | $26 | — | $26 | 0.11% |
| ROSE WALSH3 | 6047 WESLEY BROOK DRIVE WESLEY CHAPEL, FL 33545 | AFLAC | $24 | — | $24 | 0.10% |
| JEFFERY S GIBSON3 Filed as: JEFFERY SCOTT GIBSON | 3009 HUNTON COTTAGE LANE GLEN ALLEN, VA 23059 | AFLAC | $22 | — | $22 | 0.09% |
| RACHEL LEANNE THRASHER3 | 625 STREAMSIDE LANE FRANKLIN, TN 37064 | AFLAC | $22 | — | $22 | 0.09% |
| DENISE P EARLYWINE3 | 2234 FRANKLIN PIKE LEWISBURG, TN 37091 | AFLAC | $22 | — | $22 | 0.09% |
| MARTA M SASTRE3 | 1214 COLUMBUS BOULEVARD CORAL GABLES, FL 33134 | AFLAC | $20 | — | $20 | 0.08% |
| SHARON HALL3 | PO BOX 79116 CHARLOTTE, NC 28271 | AFLAC | $20 | — | $20 | 0.08% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BOULEVARD SUITE 740 SHERMAN OAKS, CA 91411 | AFLAC | $19 | — | $19 | 0.08% |
| MARTA M SASTRE3 | PO BOX 140127 CORAL GABLES, FL 33114 | AFLAC | $18 | — | $18 | 0.08% |
| MARY LARONDE3 Filed as: MARY J LARONDE | 4621 WEST 110TH AVENUE WESTMINSTER, CO 80031 | AFLAC | $18 | — | $18 | 0.08% |
| MARGARET HICKMAN3 | 5171 SANTA FE STREET YORBA LINDA, CA 92886 | AFLAC | $17 | — | $17 | 0.07% |
| MARY REBECCA WEATHERLY3 | 1934 EAST LEEWYNN DRIVE SARASOTA, FL 34240 | AFLAC | $17 | — | $17 | 0.07% |
| BENJAMIN MACKEY3 | 515 LONG VIEW DRIVE YOUNGSVILLE, NC 27596 | AFLAC | $17 | — | $17 | 0.07% |
| JAMIE JONES3 | 12826 ENGLISH WALNUT LANE CHARLOTTE, NC 28215 | AFLAC | $17 | — | $17 | 0.07% |
| PHYLLIS DAWN HESLEP3 | 4805 LAKE BROOK DRIVE SUITE 220 GLEN ALLEN, VA 23060 | AFLAC | $16 | — | $16 | 0.07% |
| KANDI M MCINTYRE3 | 2000 MALLORY LANE SUITE 130-378 FRANKLIN, TN 37067 | AFLAC | $15 | — | $15 | 0.06% |
| SHERRI L BASHORE3 | 6949 CHARLOTTE PIKE SUITE 105 NASHVILLE, TN 37209 | AFLAC | $15 | — | $15 | 0.06% |
| SHERRI L BASHORE3 | PO BOX 40327 NASHVILLE, TN 37204 | AFLAC | $15 | — | $15 | 0.06% |
| E J DIAZ INC3 | 10113 BELGRAVE ROAD TAMPA, FL 33626 | AFLAC | $14 | — | $14 | 0.06% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: JAMES GRAYDON BROWN | 2522 OWENS LANDING TRAIL NORTHWEST KENNESAW, GA 30152 | AFLAC | $14 | — | $14 | 0.06% |
| KIMBERLY NIETO3 | 5419 CLUB DRIVE WESTERVILLE, OH 43082 | AFLAC | $13 | — | $13 | 0.05% |
| L A D FINANCIAL CORP3 | 13308 ALTON ROAD PALM BEACH GARDENS, FL 33418 | AFLAC | $12 | — | $12 | 0.05% |
| KEVIN J MARKEL3 | 921 HILLSIDE STREET APARTMENT 2 LA HABRA, CA 90631 | AFLAC | $11 | — | $11 | 0.05% |
| SUSAN C BRIMHALL3 | PO BOX 336 SMITHS STATION, AL 36877 | AFLAC | $10 | — | $10 | 0.04% |
| BENITO A ROTONDI II INC3 Filed as: BENITO A ROTONDI II | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $10 | — | $10 | 0.04% |
| RICHARD JONES3 Filed as: RICHARD J JONES | 12826 ENGLISH WALNUT LANE CHARLOTTE, NC 28215 | AFLAC | $10 | — | $10 | 0.04% |
| VIRGINIA E FERGUSON3 | 959 HERRONS FERRY ROAD ROCK HILL, SC 29730 | AFLAC | $9 | — | $9 | 0.04% |
| DARREN EDWARD GALGANO3 | 16824 BLENHEIM WAY MINNETONKA, MN 55345 | AFLAC | $9 | — | $9 | 0.04% |
| JOYCE WEBER ENTERPRISES INC3 | 13313 FALCON POINTE DRIVE ORLANDO, FL 32837 | AFLAC | $9 | — | $9 | 0.04% |
| WILLIAM L BAKER IV3 | 1121 WEDGELAND DRIVE RALEIGH, NC 27615 | AFLAC | $9 | — | $9 | 0.04% |
| BARTLEIN AND ASSOCIATES INC3 | 22465 PANTHER LOOP BRADENTON, FL 34202 | AFLAC | $8 | — | $8 | 0.03% |
| MICHELE M BRIGHT3 | 5105 TOLLVIEW DRIVE SUITE 285 ROLLING MEADOWS, IL 60008 | AFLAC | $8 | — | $8 | 0.03% |
| ADAM H MICHAELS3 | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $8 | — | $8 | 0.03% |
| BRIAN WHITE3 Filed as: BRIAN M WHITE | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $8 | — | $8 | 0.03% |
| EXSEPTIONAL SERVICES INC3 | 158 PRINTERS LANE NEW LONDON, NC 28127 | AFLAC | $8 | — | $8 | 0.03% |
| DOUGLAS MEIER3 | 23 ROCKLEDGE TERRACE POMPTON PLAINS, NJ 07444 | AFLAC | $8 | — | $8 | 0.03% |
| JOSEPH M HARRELL3 | 6640 LYNDALE AVENUE SOUTH APARTMENT 206 RICHFIELD, MN 55423 | AFLAC | $7 | — | $7 | 0.03% |
| JOSEPH M HARRELL3 | 6615 LAKE SHORE DRIVE SOUTH APARTMENT 1017 MINNEAPOLIS, MN 55423 | AFLAC | $7 | — | $7 | 0.03% |
| JAMES A BURRESS3 | 8755 OGDEN DUNES DRIVE CAMBY, IN 46113 | AFLAC | $7 | — | $7 | 0.03% |
| HUMBERT ALDAMUY JR3 | 16203 MUIRFIELD DRIVE ODESSA, FL 33556 | AFLAC | $7 | — | $7 | 0.03% |
| JEAN PAUL DAVID3 | 125 JERICHO TURNPIKE SUITE 201 JERICHO, NY 11753 | AFLAC | $6 | — | $6 | 0.03% |
| DAVID N MORGAN3 | 906 MERCHANT LEE PLACE MANAKIN SABOT, VA 23103 | AFLAC | $6 | — | $6 | 0.03% |
| MICHELE M BRIGHT3 | 875 FEINBERG COURT SUITE 103 CARY, IL 60013 | AFLAC | $6 | — | $6 | 0.03% |
| CONLON AND ASSOCIATES LLC3 | PO BOX 402 BRIDGEPORT, PA 19405 | AFLAC | $6 | — | $6 | 0.03% |
| G SCOTT COOKE3 | 2832 NORTHEAST 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $5 | — | $5 | 0.02% |
| BRENT L GOODE3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $5 | — | $5 | 0.02% |
| DAVID S MORRIS3 | 950 PENINSULA CORPORATE CIRCLE SUITE 1005 BOCA RATON, FL 33487 | AFLAC | $5 | — | $5 | 0.02% |
| LUCY DIANE BAKER3 | 1455 NORTH MELROSE DRIVE APARTMENT 109 VISTA, CA 92083 | AFLAC | $5 | — | $5 | 0.02% |
| BARBARA BAROS3 | 5301 GOSHEN COURT CORPUS CHRISTI, TX 78413 | AFLAC | $5 | — | $5 | 0.02% |
| LARRY W MARONEY3 | 1230 MOUNTAIN BREEZE CANYON LAKE, TX 78133 | AFLAC | $4 | — | $4 | 0.02% |
| GROE INC3 | 108 JACKSON STREET APARTMENT 3D HOBOKEN, NJ 07030 | AFLAC | $4 | — | $4 | 0.02% |
| GROE INC3 | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $4 | — | $4 | 0.02% |
| TODD J BURKE CORP3 Filed as: TODD J BURKE | 401 EAST 80TH STREET APARTMENT 6J NEW YORK, NY 10075 | AFLAC | $4 | — | $4 | 0.02% |
| JEAN PAUL DAVID3 | 35 PINELAWN ROAD SUITE 190 MELVILLE, NY 11747 | AFLAC | $4 | — | $4 | 0.02% |
| JAY T REX3 | 3710 CANEY CREEK ROAD AUSTIN, TX 78732 | AFLAC | $4 | — | $4 | 0.02% |
| LARRY A WESTON JR3 | 321 WINDSOR ROAD GREENVILLE, NC 27858 | AFLAC | $3 | — | $3 | 0.01% |
| ROBERT P HARE3 | 6324 TARTON FIELDS LANE MASON, OH 45040 | AFLAC | $3 | — | $3 | 0.01% |
| KELLY V ZURZOLO3 | 875 FEINBERG COURT SUITE 103 CARY, IL 60013 | AFLAC | $3 | — | $3 | 0.01% |
| RICHARD J KUNZ3 | 601 MONTGOMERY STREET SUITE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $3 | — | $3 | 0.01% |
| JEFFERY S GIBSON3 Filed as: JEFFERY SCOTT GIBSON | 4805 LAKE BROOK DRIVE SUITE 220 GLEN ALLEN, VA 23060 | AFLAC | $3 | — | $3 | 0.01% |
| JOSEPH A NASCA3 | 28081 WEST MAPLE AVENUE BARRINGTON, IL 60010 | AFLAC | $3 | — | $3 | 0.01% |
| KEVIN WRONA3 Filed as: KEVIN M WRONA | 4086 FAR O WAY LANE RICHFIELD, OH 44286 | AFLAC | $2 | — | $2 | 0.01% |
| DON J CONOYER3 | 119 OAKSHIRE DRIVE WEST GLEN CARBON, IL 62034 | AFLAC | $2 | — | $2 | 0.01% |
| OLENA K SHEA3 | 3 MITCHELL PLACE UNIT 18C NEW YORK, NY 10017 | AFLAC | $2 | — | $2 | 0.01% |
| MKF & ASSOCIATES INC3 | 300 CAHABA PARK CIRCLE SUITE 133 BIRMINGHAM, AL 35242 | AFLAC | $2 | — | $2 | 0.01% |
| JOSEPH L LEDOUX3 | 2411 CARTER AVENUE NASHVILLE, TN 37206 | AFLAC | $2 | — | $2 | 0.01% |
| DENA JORDAN3 Filed as: DENA L JORDAN | 9300 HARRIS CORNERS PARKWAY SUITE 100 CHARLOTTE, NC 28269 | AFLAC | $1 | — | $1 | 0.00% |
| PATRICIA ANNE REILLY3 | 269 EAST LONG CREEK CV LONGWOOD, FL 32750 | AFLAC | $1 | — | $1 | 0.00% |
| RONALD MOSTO II3 Filed as: RONALD S MOSTO II | 6610 HARVEST DRIVE PAPILLION, NE 68133 | AFLAC | $1 | — | $1 | 0.00% |
| RND FINANCIAL ASSOCIATES INC3 | 12103 SOUTHWEST BAYBERRY AVENUE PORT ST LUCIE, FL 34987 | AFLAC | $1 | — | $1 | 0.00% |
| DUANE A ADAMS3 | 11520 NUCKOLS ROAD SUITE 103 GLEN ALLEN, VA 23059 | AFLAC | $1 | — | $1 | 0.00% |
| L A D FINANCIAL CORP3 | 4531 CADIZ CIRCLE PALM BEACH GARDENS, FL 33418 | AFLAC | $1 | — | $1 | 0.00% |
| RND FINANCIAL ASSOCIATES INC3 | 605 UNIVERSE BOULEVARD APARTMENT T816 JUNO BEACH, FL 33408 | AFLAC | $1 | — | $1 | 0.00% |
| SCOTT A SMITH3 | 5300 OAKBROOK PARKWAY BUILDING 300, SUITE 350 NORCROSS, GA 30093 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVENUE LOS ANGELES, CA 90045 | AFLAC | $1 | — | $1 | 0.00% |
| MARK D BARBIER3 | 23 CROYDON LANE OAK BROOK, IL 60523 | AFLAC | $1 | — | $1 | 0.00% |
| CARLA T WITHERINGTON3 | 1405 HERRING DRIVE COVINGTON, TN 38019 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTINE L BREWSTER3 | 1312 FARLEY LANE CHAMPAIGN, IL 61822 | AFLAC | $1 | — | $1 | 0.00% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $1 | — | $1 | 0.00% |
| ERIC R MACDOUGALL3 Filed as: ERIC MACDOUGALL & ASSOCIATES INC | 5904 MARGARETS WAY NEW HOPE, PA 18938 | AFLAC | $1 | — | $1 | 0.00% |
| JANINE FOX3 | 18 HAVILAND DRIVE SCHENECTADY, NY 12302 | AFLAC | $1 | — | $1 | 0.00% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $1 | — | $1 | 0.00% |
| ROGER MURRAY JOHNSON3 | 1926 TURNING WHEEL LANE FRANKLIN, TN 37067 | AFLAC | $1 | — | $1 | 0.00% |
| RICHARD J KRESINSKE3 | 4004 ATLANTIC AVENUE APARTMENT 803 VIRGINIA BEACH, VA 23451 | AFLAC | $1 | — | $1 | 0.00% |
| MAKOWSKI INS AGCY INC3 Filed as: MAKOWSKI INSURANCE AGENCY INC | 9404 WOODCHIP LANE BROADVIEW HEIGHTS, OH 44147 | AFLAC | $1 | — | $1 | 0.00% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $1 | — | $1 | 0.00% |
| ROY D MUNSTER3 | 8332 CHARING LANE GLEN ALLEN, VA 23059 | AFLAC | $1 | — | $1 | 0.00% |
| SHEILA L RAITCH3 | 5524 LIBER COURT GAINESVILLE, VA 20155 | AFLAC | $1 | — | $1 | 0.00% |
| DOUGLAS J SUCHECKI3 | 1224 PEACOCK AVENUE SUITE 205 COLUMBUS, GA 31906 | AFLAC | $1 | — | $1 | 0.00% |
| DAWN T SUCHECKI3 | 225 SOUTH WATER STREET WILMINGTON, NC 28401 | AFLAC | $1 | — | $1 | 0.00% |
| J MICHAEL BUTLER3 | 1090 13TH AVENUE NORTHWEST HICKORY, NC 28601 | AFLAC | $1 | — | $1 | 0.00% |
| TERRACE M LUCZAJ3 | 435 HARRODS LANE CHARLESTON, CA 29412 | AFLAC | $1 | — | $1 | 0.00% |
| JANNI AND ASSOCIATES INC3 Filed as: JANNI & ASSOCIATES INC | 732 SMITHTOWN BYPASS SMITHTOWN, NY 11787 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $1K | — | $1K | 10.34% |
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 | 965 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 27 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 997 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 566 | $318K |
| Vision | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 382 | $39K |
| Life insurance | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 965 | $68K |
| Short-term disability(3 contracts, 2 carriers) | AFLAC | 574 | $73K |
| Long-term disability | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 154 | $41K |
| Other(4 contracts, 3 carriers) | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 1,179 | $171K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,179 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.