| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ONEGROUP NY INC3 | 706 N CLINTON STREET ONEGROUP CENTER SYRACUSE, NY 13204 | CIGNA | $105K | $0 | $105K | 5.15% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS, INC | 225 WIRELESS BOULEVARD 2ND FLOOR HAUPPAUGE, NY 11788 | CIGNA | $0 | $43K | $43K | 2.12% |
| ONEGROUP NY INC3 | 706 N CLINTON STREET ONE GROUP CENTER SYRACUSE, NC 13204 | GUARDIAN INSURANCE | $2K | $0 | $2K | 8.05% |
| NATIONAL BENEFIT CENTER3 Filed as: NATIONAL BENEFIT CENTER LLC | 1105 NORTH MARKET STREET SUITE 1300 WILMINGTON, DE 19801 | GUARDIAN INSURANCE | $5 | $0 | $5 | 0.02% |
| ONEGROUP NY INC3 | 706 N CLINTON STREET ONEGROUP CENTER SYRACUSE, NY 13204 | CIGNA LIFE INSURANCE CO OF NEW YORK | $3K | $0 | $3K | 8.28% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BOULEVARD SUITE 200 HAUPPAUGE, NY 11788 | CIGNA LIFE INSURANCE CO OF NEW YORK | $0 | $2K | $2K | 5.00% |
| ONEGROUP NY INC3 | 706 CLINTON STREET ONEGROUP CENTER SYACUSE, NY 13204 | CIGNA LIFE INSURANCE CO OF NEW YORK | $3K | $0 | $3K | 13.15% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BOULEVARD SUITE 200 HAUPPAUGE, NY 11788 | CIGNA LIFE INSURANCE CO OF NEW YORK | $0 | $0 | $0 | 0.00% |
| DAVID CAPO3 | 2413 WOOD AVENUE BELLMORE, NY 11710 | AFLAC | $273 | $0 | $273 | 2.49% |
| ONEGROUP NY INC3 | 706 N CLINTON STREET ONCEGROUP CENTER SYRACUSE, NY 13204 | AFLAC | $264 | $0 | $264 | 2.40% |
| MICHAEL C WALKER3 Filed as: MICHAEL P DESTEFANO | 4250 VETERANS MEMORIAL HIGHWAY SUITE 1015W HOLBROOK, NY 11741 | AFLAC | $251 | $0 | $251 | 2.29% |
| SILVIA DESTEFANO3 | 4250 VETERANS MEMORIAL HIGHWAY SUITE 1015W HOLBROOK, NY 11741 | AFLAC | $121 | $0 | $121 | 1.10% |
| DOMENICO V MAUTARELLI3 | PO BOX 767 MATTITUCK, NY 11952 | AFLAC | $112 | $0 | $112 | 1.02% |
| GARY DESTEFANO3 | 23 LEHIGH DRIVE SMITHTOWN, NY 11787 | AFLAC | $93 | $0 | $93 | 0.85% |
| JAMES (JAY) GRIMES3 Filed as: JAMES J GRIMES | 6165 WATERFORD ROAD COLUMBUS, GA 31904 | AFLAC | $73 | $0 | $73 | 0.66% |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $48 | $0 | $48 | 0.44% |
| MICHAEL S CHILLE3 | 12 THOMAS MORE DRIVE WINCHESTER, ME 01890 | AFLAC | $42 | $0 | $42 | 0.38% |
| BRIEN C FLETCHER3 | 15 GARDEN AVENUE CARLE PLACE, NY 11514 | AFLAC | $15 | $0 | $15 | 0.14% |
| THOMAS G GIORDANO3 | 139 CONCORD AVENUE OCEANSIDE, NY 11572 | AFLAC | $9 | $0 | $9 | 0.08% |
| MCINERNEY GROUP LLC | 580 WHITE PLAINS ROAD SUITE 115 TARRYTOWN, NY 10591 | AFLAC | $7 | — | $7 | 0.06% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $7 | $0 | $7 | 0.06% |
| WILLIAM J LOEFFERT3 Filed as: WILLIAM J. LOEFFERT | 555 BROAD HALLOW ROAD SUITE 201 MELVILLE, NY 11747 | AFLAC | $5 | $0 | $5 | 0.05% |
| GALE LOEFFERT3 Filed as: GALE FOEFFERT | 545 DAVIS STREET NORTH BABYLON, NY 11703 | AFLAC | $5 | $0 | $5 | 0.05% |
| BENITO A ROTONDI II INC3 | 22 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $5 | $0 | $5 | 0.05% |
| TODD J BURKE CORP3 | 2 IRIS LANE GARDEN CITY, NY 11530 | AFLAC | $2 | $0 | $2 | 0.02% |
| SAL RESTIVO INSURANCE BROKERAGE COR3 Filed as: SAL RESTIVO INSURANCE BROKERAGE CO | PO BOX 838 EAST SETAUKET, NY 11733 | AFLAC | $1 | $0 | $1 | 0.01% |
| ONEGROUP NY INC3 | 706 N CLINTON STREET ONEGROUP CENTER SYRACUSE, NY 13204 | FIRST UNUM LIFE INSURANCE COMPANY | $263 | $0 | $263 | 2.50% |
| LISA BETH BEERS3 | 3630 GARDENS PARKWAY PALM BEACH GARDENS, FL 33410 | FIRST UNUM LIFE INSURANCE COMPANY | $27 | $0 | $27 | 0.26% |
| PREMIER WORKSITE SOLUTIONS INC3 Filed as: PREMIER WORKSITE SOLUTIONS, LLC | 700 KINDERKAMACK ROAD ORADELL, NJ 11375 | LIFE INSURANCE COMPANY OF BOSTON AND NEW YORK | $639 | $0 | $639 | 6.13% |
| ONEGROUP NY INC3 | 706 N CLINTON STREET ONEGROUP CENTER SYRACUSE, NY 13204 | LIFE INSURANCE COMPANY OF BOSTON AND NEW YORK | $341 | $0 | $341 | 3.27% |
| VINCENZO VENTURI3 | 14 WESTCHESTER AVENUE POUND RIDGE, NY 10576 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | $0 | $2K | 21.75% |
| ONEGROUP NY INC3 | 706 N CLINTON STREET ONEGRIOUP CENTER SYRACUSE, NY 13204 | CIGNA LIFE INSURANCE CO OF NEW YORK | $301 | $0 | $301 | — |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BOULEVARD SUITE 200 HAUPPAUGE, NY 11788 | CIGNA LIFE INSURANCE CO OF NEW YORK | $0 | $0 | $0 | — |
| PREMIER WORK-SITE SOLUTIONS3 Filed as: PREMIER WORK-SITE SOLUTIONS, LLC | 700 KINDERKAMACK ROAD SUITE 205 ORADELL, NJ 07649 | ALLSTATE INSURANCE COMPANY OF NEW YORK | $168 | $0 | $168 | — |
| ONEGROUP NY INC3 | 706 N CLINTON STREET ONEGROUP CENTER SYRACUSE, NY 13204 | ALLSTATE INSURANCE COMPANY OF NEW YORK | $153 | $0 | $153 | — |
| MATTHEW BORELLA3 | 700 KINDERKAMACK ROAD SUITE 205 ORADELL, NJ 07649 | ALLSTATE INSURANCE COMPANY OF NEW YORK | $133 | $0 | $133 | — |
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 | 300 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 300 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA | 211 | $2.0M |
| Dental | CIGNA | 211 | $2.0M |
| Vision | CIGNA | 211 | $2.0M |
| Life insurance(2 contracts, 2 carriers) | CIGNA LIFE INSURANCE CO OF NEW YORK | 0 | $41K |
| Short-term disability | GUARDIAN INSURANCE | 300 | $31K |
| Long-term disability | CIGNA LIFE INSURANCE CO OF NEW YORK | 0 | $24K |
| Other(7 contracts, 5 carriers) | GUARDIAN INSURANCE | 300 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 300 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.