| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNKNOWN3 | UNKNOWN HAUPPAUGE, NY 11788 | EMBLEMHEALTH | $83K | — | $83K | 4.02% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE WALSH | 255 WEST NECK ROAD HUNTINGTON, NY 11743 | AFLAC | $14K | $1K | $15K | 9.39% |
| KIRSTEN E WALSH3 Filed as: KIRSTEN E. WALSH | 125 JERICHO TURNPIKE, SUITE 201 JERICHO, NY 11753 | AFLAC | $9K | $734 | $10K | 5.99% |
| JACQUES P DAVID CORPORATION3 | 125 JERICHO TURNPIKE, SUITE 201 JERICHO, NY 11753 | AFLAC | $4K | $296 | $4K | 2.58% |
| LEWIS R B ASSOCIATES INC3 Filed as: LEWIS R. B. ASSOCIATES, INC. | 22 JERICHO TURNPIKE, SUITE 105 MINEOLA, NY 11501 | AFLAC | $2K | — | $2K | 1.57% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER CORPORATION | 401 FRANKLIN AVENUE, SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $2K | $296 | $2K | 1.47% |
| MJ INSURANCE3 Filed as: JAMES B. WALSH AND VARIOUS AGENTS | 255 WEST NECK ROAD HUNTINGTON, NY 11743 | AFLAC | $1K | — | $1K | 0.77% |
| SIMONE HIRSCH3 | 7 MAPLE RUN DRIVE JERICHO, NY 11753 | AFLAC | $836 | — | $836 | 0.53% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | PO BOX 654118 DALLAS, TX 75265 | EMPIRE HEALTHCHOICE HMO, INC. | $4K | — | $4K | 2.95% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES, GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | AETNA LIFE INSURANCE COMPANY | $4K | — | $4K | 2.98% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 200 EAST PARK DRIVE, SUITE 600 MOUNT LAUREL, NJ 08054 | AETNA LIFE INSURANCE COMPANY | — | $105 | $105 | 0.08% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 250 MARCUS BOULEVARD HAUPPAGUE, NY 11788 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $7K | — | $7K | 10.00% |
| DASCIT, WHITE AND WINSTON, INC.3 | UNKNOWN, 2ND FLOOR NEW YORK, NY 10017 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $474 | — | $474 | 0.68% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, INC. | 5500 DEARBORN CIRCLE, SUITE 100 MT. LAUREL, NJ 08054 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $694 | — | $694 | 10.00% |
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 | 433 | 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) | 433 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | EMBLEMHEALTH | 327 | $2.2M |
| Dental | AETNA LIFE INSURANCE COMPANY | 438 | $129K |
| Vision | EMPIRE HEALTHCHOICE HMO, INC. | 19 | $151K |
| Life insurance(2 contracts) | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 433 | $77K |
| Long-term disability | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 17 | $7K |
| Prescription drug(2 contracts, 2 carriers) | EMBLEMHEALTH | 327 | $2.2M |
| Other(3 contracts, 2 carriers) | AFLAC | 433 | $236K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 438 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.