| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JANNI AND ASSOCIATES INC3 | 33 WALT WHITMAN ROAD HUNTINGTON STATION, NY 11746 | ANTHEM BLUE CROSS AND BLUE SHIELD | $7K | — | $7K | 8.17% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | ARCH INSURANCE COMPANY | $3K | — | $3K | 8.08% |
| JANNI AND ASSOCIATES INC3 Filed as: JANNI AND ASSOC INC | 33 WALT WHITMAN ROAD SUITE 106E HUNTINGTON STATION, NY 11746 | ANTHEM BLUE CROSS | $3K | — | $3K | 13.30% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY ROAD SUITE 403 WOODBURY, NY 11797 | ANTHEM BLUE CROSS | — | $2K | $2K | 8.04% |
| JANNI AND ASSOCIATES INC3 | 33 WALT WHITMAN ROAD SUITE 106E HUNTINGTON STATION, NY 11746 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 12.73% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY ROAD SUITE 403 WOODBURY, NY 11797 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 7.64% |
| JANNI AND ASSOCIATES INC3 Filed as: JANNI AND ASSOC INC | 33 WALT WHITMAN ROAD HUNTINGTON STATION, NY 11746 | ANTHEM BLUE CROSS AND BLUE SHIELD | $966 | — | $966 | 7.44% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | — | ARCH INSURANCE COMPANY | $264 | — | $264 | 4.46% |
| A SECURE YOU INC4 | 63 SABLE RUN EAST AMNHERST, NY 14051 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $148 | — | $148 | 35.49% |
| JANNI AND ASSOCIATES INC4 | SUITE 160E 33 WALT WHITMAN ROAD HUNTINGTON STATION, NY 11746 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $57 | — | $57 | 13.67% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS AND BLUE SHIELD | 64 | $7K |
| Dental | ANTHEM BLUE CROSS AND BLUE SHIELD | 223 | $91K |
| Vision | ANTHEM BLUE CROSS AND BLUE SHIELD | 180 | $13K |
| Life insurance(2 contracts, 2 carriers) | ANTHEM BLUE CROSS | 655 | $42K |
| Short-term disability(2 contracts, 2 carriers) | ANTHEM BLUE CROSS | 655 | $42K |
| Long-term disability(2 contracts, 2 carriers) | ANTHEM BLUE CROSS | 655 | $42K |
| Other(5 contracts, 4 carriers) | ARCH INSURANCE COMPANY | 775 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 775 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.