| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL LISA3 | CORPORATE SYNERGIES GROUP, LLC 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | EMBLEMHEALTH | $81K | $0 | $81K | 3.83% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE WALSH | 255 WEST NECK ROAD HUNTINGTON, NY 11743 | AFLAC | $15K | $905 | $16K | 8.58% |
| KIRSTEN E WALSH3 Filed as: KIRSTEN E. WALSH | 125 JERICHO TURNPIKE, SUITE 201 JEICHO, NY 11753 | AFLAC | $11K | $804 | $12K | 6.61% |
| JACQUES P DAVID CORPORATION3 Filed as: JACQUES P. DAVID CORPORATION | 125 JERICHO TURNPIKE, SUITE 201 JERICHO, NY 11753 | AFLAC | $4K | $285 | $4K | 2.40% |
| LEWIS R B ASSOCIATES INC3 Filed as: LEWIS R B ASSOCIATES INC. | 22 JERICHO TURNPIKE, SUITE 105 MINEOLA, NY 11501 | AFLAC | $2K | $0 | $2K | 1.22% |
| MJ INSURANCE3 Filed as: JAMES B. WALSH AND VARIOUS AGENTS | 255 WEST NECK ROAD HUNTINGTON, NY 11743 | AFLAC | $1K | $0 | $1K | 0.74% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER CORP | 401 FRANKLIN AVENUE, SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $903 | $0 | $903 | 0.50% |
| SIMONE HIRSCH3 | 7 MAPLE RUN DRIVE JERICHO, NY 11753 | AFLAC | $793 | $0 | $793 | 0.44% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | PO BOX 654118 DALLAS, TX 75265 | EMPIRE HEALTHCHOICE HMO, INC. | $3K | $0 | $3K | 1.94% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | AETNA LIFE INSURANCE COMPANY | $4K | $92 | $4K | 3.09% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $5K | $0 | $5K | 10.00% |
| EMERSON REID LLC3 | 1305 WALT WHITMAN ROAD, SUITE 310 MELVILLE, NY 11747 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $425 | $0 | $425 | 0.85% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5500 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $965 | $0 | $965 | 10.00% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE, SUITE 100 MOUNT LAUREL, NJ 08054 | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | $323 | $0 | $323 | 9.99% |
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 | 387 | 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) | 387 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | EMBLEMHEALTH | 258 | $2.3M |
| Dental | AETNA LIFE INSURANCE COMPANY | 397 | $127K |
| Vision | EMPIRE HEALTHCHOICE HMO, INC. | 8 | $134K |
| Life insurance(3 contracts) | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 395 | $63K |
| Short-term disability | AFLAC | 211 | $182K |
| Long-term disability(2 contracts) | THE UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK | 17 | $13K |
| Prescription drug(2 contracts, 2 carriers) | EMBLEMHEALTH | 258 | $2.3M |
| Other(4 contracts, 2 carriers) | AFLAC | 395 | $245K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 397 | — |
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.