| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JANNI AND ASSOCIATES INC3 Filed as: JANNI AND ASSOC INC | 33 WALT WHITMAN ROAD HUNTINGTON STATION, NY 11746 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $13K | — | $13K | 8.05% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY ROAD SUITE 403 WOODBURY, NY 11797 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | — | $9K | $9K | 5.82% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | ARCH INSURANCE COMPANY | $4K | — | $4K | 6.35% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY ROAD SUITE 403 WOODBURY, NY 11797 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | — | $3K | $3K | 5.84% |
| JANNI AND ASSOCIATES INC3 Filed as: JANNI AND ASSOC INC | 33 WALT WHITMAN ROAD SUITE 106E HUNTINGTON STATION, NY 11746 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $3K | — | $3K | 4.89% |
| GFM CORP3 | 2 HALYARD COURT COLD SPRING HARBOR, NY 11724 | AFLAC | $1K | — | $1K | 3.30% |
| JANNI AND ASSOCIATES INC3 Filed as: JANNI AND ASSOCIATES, INC | 33 WALT WHITMAN ROAD SUITE 106 HUNTINGTON STATION, NY 11746 | AFLAC | $1K | — | $1K | 3.14% |
| LORI ANN LOMBARDO3 | 459 TRESTLE WAY CONWAY, SC 29526 | AFLAC | $740 | — | $740 | 2.09% |
| PETER LOMBARDO3 | 63 BURLEIGH DRIVE HOLBROOK, NY 11741 | AFLAC | $503 | — | $503 | 1.42% |
| RICHARD PETERSON3 | 19 IDLE DAY DRIVE CENTERPORT, NY 11721 | AFLAC | $439 | — | $439 | 1.24% |
| SIMONE HIRSCH3 | 17 SPRING COURT HUNTINGTON, NY 11743 | AFLAC | $311 | — | $311 | 0.88% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $185 | — | $185 | 0.52% |
| JACQUES P DAVID CORPORATION3 | 5 MONFORT DRIVE HUNTINGTON, NY 11743 | AFLAC | $170 | — | $170 | 0.48% |
| KENNETH C MEIER CORP3 | 19 MARKWOOD ROAD GARDEN CITY, NY 11530 | AFLAC | $101 | — | $101 | 0.29% |
| TIMOTHY C CAVAZOS3 | 11551 NUCKOLS ROAD SUITE P GLEN ALLEN, VA 23059 | AFLAC | $21 | — | $21 | 0.06% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $13 | — | $13 | 0.04% |
| DAVID RISPLER3 Filed as: J DAVID AND ASSOCIATES INC | 35 PINELAWN ROAD SUITE 190 MELVILLE, NY 11747 | AFLAC | $12 | — | $12 | 0.03% |
| SATESH N SINGH3 | 127 16 LIBERTY AVENUE LIFE LLC SOUTH RICHMOND HILL, NY 11419 | AFLAC | $11 | — | $11 | 0.03% |
| THOMAS B HIRSCH3 | 9 BROWN ROAD GREAT NECK, NY 11024 | AFLAC | $6 | — | $6 | 0.02% |
| JANNI AND ASSOCIATES INC3 Filed as: JANNI AND ASSOC INC | 33 WALT WHITMAN ROAD SUITE 106E HUNTINGTON STATION, NY 11746 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $3K | — | $3K | 9.60% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY ROAD SUITE 403 WOODBURY, NY 11797 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | — | $1K | $1K | 4.22% |
| JANNI AND ASSOCIATES INC3 Filed as: JANNI AND ASSOC INC | 33 WALT WHITMAN ROAD HUNTINGTON STATION, NY 11746 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $876 | — | $876 | 4.05% |
| JANNI AND ASSOCIATES INC3 Filed as: JANNI AND ASSOC INC | 33 WALT WHITMAN ROAD SUITE 106E HUNTINGTON STATION, NY 11746 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $980 | — | $980 | 10.52% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY ROAD SUITE 403 WOODBURY, NY 11797 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | — | $385 | $385 | 4.13% |
| LORI ANN LOMBARDO3 | 459 TRESTLE WAY CONWAY, SC 29526 | AFLAC | $359 | — | $359 | 4.20% |
| GAVIN MEIER3 | 14107 20TH AVENUE SUITE 507 WHITESTONE, NY 11357 | AFLAC | $195 | — | $195 | 2.28% |
| MARILYN MOORMAN3 | 11913 SUNFLOWER LANE RICHMOND, VA 23236 | AFLAC | $98 | — | $98 | 1.15% |
| RICHARD PETERSON3 Filed as: RICHARD D PETERSON | 19 IDLE DAY DRIVE CENTERPORT, NY 11721 | AFLAC | $91 | — | $91 | 1.06% |
| QIANA D COCHRAN3 | 1506 FITZER COURT JOLIET, IL 60431 | AFLAC | $69 | — | $69 | 0.81% |
| JACQUES P DAVID CORPORATION3 Filed as: JACQUES P DAVID | 5 MONFORT DRIVE HUNTINGTON, NY 11743 | AFLAC | $63 | — | $63 | 0.74% |
| DAISSYS M ESTRADA3 | 7931 NORTHWEST 168TH TERRACE MIAMI LAKES, FL 33016 | AFLAC | $41 | — | $41 | 0.48% |
| ROSE M WALSH3 | 6382 SOUTHWEST 62ND AVENUE OCALA, FL 34474 | AFLAC | $24 | — | $24 | 0.28% |
| JEFFERY S GIBSON3 Filed as: JEFFERY SCOTT GIBSON | 4030 TATES CREEK ROAD APARTMENT 1004 CONSHOHOCKEN, PA 40517 | AFLAC | $24 | — | $24 | 0.28% |
| RONALD INFANTINO3 | 2680 TRILLIUM RIDGE UNIT 3210 THE VILLAGES, FL 32163 | AFLAC | $23 | — | $23 | 0.27% |
| SHARON S. WIENER3 Filed as: SHARON S WIENER | 8833 PICKFORD STREET LOS ANGELES, CA 90035 | AFLAC | $20 | — | $20 | 0.23% |
| CHARLITA J MILLARD3 | PO BOX 3943 CHESTER, VA 23831 | AFLAC | $19 | — | $19 | 0.22% |
| MARY LARONDE3 Filed as: MARY J LARONDE | 4621 WEST 110TH AVENUE WESTMINSTER, CO 80031 | AFLAC | $18 | — | $18 | 0.21% |
| PHYLLIS DAWN HESLEP3 | 301 HARBOUR PLACE DRIVE UNIT 1202 TAMPA, FL 33602 | AFLAC | $17 | — | $17 | 0.20% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER | 19 MARKWOOD ROAD FOREST HILLS, NY 11375 | AFLAC | $15 | — | $15 | 0.18% |
| EMILIO JAY DIAZ3 | 11121 CLAYRIDGE DRIVE TAMPA, FL 33635 | AFLAC | $14 | — | $14 | 0.16% |
| L A D FINANCIAL CORP3 | 13308 ALTON ROAD PALM BEACH GARDENS, FL 33418 | AFLAC | $13 | — | $13 | 0.15% |
| KIMBERLY NIETO3 | 5419 CLUB DRIVE WESTERVILLE, OH 43082 | AFLAC | $13 | — | $13 | 0.15% |
| MARTA M SASTRE3 | 1214 COLUMBUS BOULEVARD CORAL GABLES, FL 33134 | AFLAC | $11 | — | $11 | 0.13% |
| JEAN PAUL DAVID3 | 35 PINELAWN ROAD SUITE 190 MELVILLE, NY 11747 | AFLAC | $9 | — | $9 | 0.11% |
| VIRGINIA E FERGUSON3 | 5549 FIVE KNOLLS DRIVE CHARLOTTE, NC 28226 | AFLAC | $9 | — | $9 | 0.11% |
| DARREN EDWARD GALGANO3 | 16824 BLENHEIM WAY MINNETONKA, MN 55345 | AFLAC | $9 | — | $9 | 0.11% |
| JOSHUA C BURTON3 | 4198 COX ROAD SUITE 113 GLEN ALLEN, VA 23060 | AFLAC | $9 | — | $9 | 0.11% |
| GROE INC3 | 108 JACKSON STREET APARTMENT 4A HOBOKEN, NJ 07030 | AFLAC | $8 | — | $8 | 0.09% |
| DOUGLAS MEIER3 Filed as: DOUGLAS R MEIER | 23 ROCKLEDGE TERRACE POMPTON PLAINS, NJ 07444 | AFLAC | $8 | — | $8 | 0.09% |
| JAMES A BURRESS3 | 8755 OGDEN DUNES DRIVE CAMBY, IN 46113 | AFLAC | $7 | — | $7 | 0.08% |
| HUMBERT ALDAMUY JR3 | 16203 MUIRFIELD DRIVE ODESSA, FL 33556 | AFLAC | $7 | — | $7 | 0.08% |
| DAVID N MORGAN3 | 1904 ELLIS DRIVE MAIDENS, VA 23102 | AFLAC | $7 | — | $7 | 0.08% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: JAMES GRAYDON BROWN | 2522 OWENS LANDING TRAIL NORTHWEST KENNESAW, GA 30152 | AFLAC | $5 | — | $5 | 0.06% |
| LUCY DIANE BAKER3 | 78989 APRICOT LANE PALM DESERT, CA 92211 | AFLAC | $5 | — | $5 | 0.06% |
| SUSAN C BRIMHALL3 | PO BOX 8 LAKE PLACID, NY 12946 | AFLAC | $4 | — | $4 | 0.05% |
| BRIAN WHITE3 Filed as: BRIAN M WHITE | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $4 | — | $4 | 0.05% |
| TODD J BURKE CORP3 Filed as: TODD J BURKE | 23 WEST MEADOW ROAD SETAUKET, NY 11733 | AFLAC | $4 | — | $4 | 0.05% |
| GEOFFREY MALAIS3 Filed as: GEOFFREY MALASIS | PO BOX 280717 NORTHRIDGE, CA 91328 | AFLAC | $3 | — | $3 | 0.04% |
| ROBERT P HARE3 | 6324 TARTON FIELDS LANE MASON, OH 45040 | AFLAC | $3 | — | $3 | 0.04% |
| BENITO A ROTONDI II INC3 Filed as: BENITO A ROTONDI II | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $3 | — | $3 | 0.04% |
| ROBERT M GLASS CORP3 Filed as: ROBERT N DIAZ | 1205 HILLSBORO MILE #203 HILLSBORO BEACH, FL 33062 | AFLAC | $3 | — | $3 | 0.04% |
| REGINALD QUEEN3 | 50 WEST LEMON AVENUE MONROVIA, CA 91016 | AFLAC | $2 | — | $2 | 0.02% |
| DAVID S MORRIS3 | 950 PENINSULA CORPORATE CIRCLE SUITE 1005 BOCA RATON, FL 33487 | AFLAC | $2 | — | $2 | 0.02% |
| ADAM H MICHAELS3 | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $1 | — | $1 | 0.01% |
| SCOTT A SMITH3 | 5300 OAKBROOK PARKWAY SUITE 300 SUITE 350 NORCROSS, GA 30093 | AFLAC | $1 | — | $1 | 0.01% |
| DUANE A ADAMS3 | 493 BAILEY DRIVE LOUISA, VA 23093 | AFLAC | $1 | — | $1 | 0.01% |
| CHRISTINE L BREWSTER3 | 1312 FARLEY LANE CHAMPAIGN, IL 61822 | AFLAC | $1 | — | $1 | 0.01% |
| TODD DEVOSS3 Filed as: TODD C DEVOSS | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $1 | — | $1 | 0.01% |
| J MICHAEL BUTLER3 | 1090 13TH AVENUE NORTHWEST HICKORY, NC 28601 | AFLAC | $1 | — | $1 | 0.01% |
| NICHOLAS WAGNER3 | 1508 BACK COVE ROAD VIRGINIA BEACH, VA 23454 | AFLAC | $1 | — | $1 | 0.01% |
| ROY D MUNSTER3 | 8332 CHARING LANE GLEN ALLEN, VA 23059 | AFLAC | $1 | — | $1 | 0.01% |
| SHEILA L RAITCH3 | 5524 LIBER COURT GAINESVILLE, VA 20155 | AFLAC | $1 | — | $1 | 0.01% |
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 | 632 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 640 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 263 | $155K |
| Vision | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 203 | $22K |
| Life insurance | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 612 | $58K |
| Short-term disability(3 contracts, 2 carriers) | AFLAC | 286 | $53K |
| Long-term disability | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 101 | $31K |
| Other(4 contracts, 3 carriers) | ARCH INSURANCE COMPANY | 841 | $171K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 841 | — |
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.