| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL S TEITELBAUM3 Filed as: MICHAEL TEITELBAUM | 76 WATERMAN AVENUE RUMSON, NJ 07760 | AFLAC | $10K | $691 | $10K | 6.77% |
| KRISTEN PARZIANO3 | 15 10TH STREET STATEN ISLAND, NY 10306 | AFLAC | $5K | — | $5K | 3.09% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY A LIBECCI | 205 OLD TOWN ROAD STATEN ISLAND, NY 10305 | AFLAC | $4K | $138 | $4K | 2.42% |
| JACQUELINE CASTRO3 Filed as: JACQUELINE S CASTRO LLC | 100 WALL STREET FLOOR 28 NEW YORK, NY 10005 | AFLAC | $3K | — | $3K | 1.78% |
| YANIRA TEITELBAUM3 | 78 WATERMAN AVENUE RUMSON, NJ 07760 | AFLAC | $2K | — | $2K | 1.53% |
| PATRICK RUHLE3 Filed as: PATRICK HARDIE | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $2K | $138 | $2K | 1.25% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R ORGERA INC | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $2K | — | $2K | 1.02% |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $506 | — | $506 | 0.34% |
| TREVOR FENNELL3 | 11835 QUEENS BOULEVARD SUITE 1403 FOREST HILLS, NY 11379 | AFLAC | $442 | — | $442 | 0.29% |
| TIMOTHY C CAVAZOS3 Filed as: TIMOTHY E CAVAZOS | 11551 NUCKOLS ROAD SUITE P GLEN ALLEN, VA 23059 | AFLAC | $398 | — | $398 | 0.26% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: KEVIN G GALLAGHER | 173 GELSTON AVENUE APT 3D BROOKLYN, NY 11209 | AFLAC | $394 | — | $394 | 0.26% |
| SPAOLILLO CORP3 | 6707 10TH AVENUE BROOKLYN, NY 11219 | AFLAC | $239 | — | $239 | 0.16% |
| CHARLES J MULE3 Filed as: CHARLES MULE | 147 UNION STREET BROOKLYN, NC 11231 | AFLAC | $158 | — | $158 | 0.10% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $126 | — | $126 | 0.08% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $111 | — | $111 | 0.07% |
| DENNIS FENNELL3 | 8 BELVOIR DRIVE WASHINGTONVILLE, NY 10992 | AFLAC | $87 | — | $87 | 0.06% |
| KWAN CHAE3 | 395 SOUTH END AVENUE 8J NEW YORK, NY 10280 | AFLAC | $36 | — | $36 | 0.02% |
| TODD J BURKE CORP3 | 2 IRIS LANE GARDEN CITY, NY 11530 | AFLAC | $24 | — | $24 | 0.02% |
| MICHAEL S CHILLE3 | 12 ST THOMAS MORE DRIVE WINCHESTER, MA 01890 | AFLAC | $23 | — | $23 | 0.02% |
| KERRY MANGIACASALE3 | 24 PILCHER STREET STATEN ISLAND, NY 10314 | AFLAC | $9 | — | $9 | 0.01% |
| STEPHEN WHITE3 | 5 EMERAL LANE MONTEBELO, NY 10901 | AFLAC | $8 | — | $8 | 0.01% |
| THE MEYER AGENCY LTD3 | PO BOX 112829 NAPLES, FL 34108 | AFLAC | $7 | — | $7 | 0.00% |
| MCINERNEY GROUP LLC3 | 580 WHITE PLAINS ROAD SUITE 115 TARRYTOWN, NY 10594 | AFLAC | $5 | — | $5 | 0.00% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DRIVE SE CALEDONIA, MI 49316 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $5K | — | $5K | 6.39% |
| ACRISURE LLC3 | 16 WEST 36TH STREET 11TH FLOOR NEW YORK, NY 10018 | GUARDIAN | $1K | — | $1K | 9.61% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DRIVE CALEDONIA, MI 49316 | UNUM LIFE INSURANCE COMPANY | $389 | $20 | $409 | 15.49% |
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 | 161 | 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) | 161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 162 | $78K |
| Vision | GUARDIAN | 126 | $12K |
| Life insurance | UNUM LIFE INSURANCE COMPANY | 14 | $3K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY | 14 | $3K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY | 14 | $3K |
| Other(2 contracts, 2 carriers) | AFLAC | 129 | $154K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 162 | — |
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.