| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOEL LEVINE PLANNING LTD3 | 111 EXPRESS ST PLAINVIEW, NY 11803 | EMBLEM HEALTH | $83K | — | $83K | 3.85% |
| JOEL LEVINE PLANNING LTD3 | 1800 WALT WHITMAN RD SUITE 160 MELVILLE, NY 11747 | AETNA LIFE INSURANCE CO. & AFFILIATES | $6K | — | $6K | 4.17% |
| FNA INSURANCE SERVICES INC3 Filed as: FNA INSURANCE SERVICES | 100 SUNNYSIDE BLVD WOODBURY, NY 11797 | AETNA LIFE INSURANCE CO. & AFFILIATES | $6K | — | $6K | 3.97% |
| JOEL LEVINE PLANNING LTD3 Filed as: JOEL LEVINE PLANNING | 111 EXPRESS ST PLAINVIEW, NY 11803 | EMBLEM HEALTH | $5K | — | $5K | 4.24% |
| GARY LEVINE AND ASSOCIATES LTD3 Filed as: GARY LEVINE & ASSOCIATES | 1800 WALT WHITMAN RD, STE 160 MELVILLE, NY 11747 | NORTH SHORE -LIU CARECONNECT INSURANCE CO | $2K | — | $2K | 4.00% |
| SAVOY ASSOCIATES3 Filed as: DONALD SAVOY -SAVOY ASSOCIATES | 25 B HANOVER RD, STE 220 FLORHAM PARK, NJ 07932 | NORTH SHORE -LIU CARECONNECT INSURANCE CO | — | $652 | $652 | 1.50% |
| ALAN J ZUCCARI INC3 Filed as: ALAN BERGMAN | 100 JERICHO QUAD #325 JERICHIO, NY 11753 | LINCOLN FINANCIAL GROUP | $3K | — | $3K | 11.72% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD. #308 HAUPPAUGE, NY 11788 | LINCOLN FINANCIAL GROUP | — | $1K | $1K | 5.00% |
| ALAN BERGAN3 | 100 JERICHO QUAD # 325 JERICHO, NY 11753 | LINCOLN FINANCIAL GROUP | $1K | — | $1K | 11.46% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD. #308 HAUPPAUGE, NY 11788 | LINCOLN FINANCIAL GROUP | — | $592 | $592 | 5.00% |
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 | 198 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | EMBLEM HEALTH | 142 | $2.3M |
| Dental | AETNA LIFE INSURANCE CO. & AFFILIATES | 463 | $156K |
| Life insurance | LINCOLN FINANCIAL GROUP | 225 | $12K |
| Long-term disability | LINCOLN FINANCIAL GROUP | 225 | $30K |
| Other | LINCOLN FINANCIAL GROUP | 225 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 463 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.