| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GEORGE BLAIR WEILER3 Filed as: GEORGE WEILLER | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $13K | $2K | $15K | 8.32% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2 PIERCE PLACE 14TH FLOOR ITASCA, IL 60143 | AFLAC | $6K | $0 | $6K | 3.45% |
| TODD J BURKE CORP3 | 2 IRIS LN GARDEN CITY, NY 11530 | AFLAC | $3K | $299 | $3K | 1.59% |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $2K | $301 | $2K | 1.26% |
| ELIZABETH SARAH IMPERIAL3 Filed as: ELIZABETH IMPERIAL | 155 BRIXTON RD GARDEN CITY, NY 11530 | AFLAC | $1K | $0 | $1K | 0.77% |
| CIRO ABRIL3 | 18 BRACKEN CT HOWELL, NJ 07731 | AFLAC | $1K | $76 | $1K | 0.74% |
| SIMONE HIRSCH3 | 7 MAPLE RUN DR JERICHO, NY 11753 | AFLAC | $952 | $0 | $952 | 0.54% |
| SAL RESTIVO INSURANCE BROKERAGE COR3 | 32 HASKEL LANE STONEYBROOK, NY 11790 | AFLAC | $764 | $0 | $764 | 0.43% |
| WILLIAM WHICHER3 | 1 LINDEN STRRET GARDEN CITY, NY 11530 | AFLAC | $722 | $0 | $722 | 0.41% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R ORGERA INC | 14 WALL STREET STE 8C ATTN AFLAC NEW YORK, NY 10005 | AFLAC | $535 | $5 | $540 | 0.30% |
| PATRICK RUHLE3 | 200 GARDEN CITY PLZ STE 410 RUHLE RISK MANAGEMENT GARDEN CITY, NY 11530 | AFLAC | $438 | $2 | $440 | 0.25% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE WALSH | 255 WEST NECK ROAD HUNTINGTON, NY 11743 | AFLAC | $423 | $0 | $423 | 0.24% |
| EDWIN O'CONNOR3 | PO BOX 166 MASSAPEQUA, NY 11758 | AFLAC | $275 | $0 | $275 | 0.15% |
| OMNI MANAGED HEALTH, INC.3 Filed as: OMNI MANAGED HEALTH INC | 3021 AVENUE J STE 1 BROOKLYN, NY 11210 | AFLAC | $252 | $0 | $252 | 0.14% |
| KENNETH REY VIOLA3 Filed as: KENNETH VIOLA | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $250 | $0 | $250 | 0.14% |
| KATINA O'CONNOR3 | PO BOX 166 MASSAPEQUA, NY 11758 | AFLAC | $205 | $0 | $205 | 0.12% |
| FRANK CRYSTAL & CO INC3 | FINANCIAL SQUARE 32 OLD SLIP NEW YORK, NY 10005 | AFLAC | $199 | $0 | $199 | 0.11% |
| DOUGLAS MEIER3 | 23 ROCKLEDGE TER POMPTON PLAINS, NJ 07444 | AFLAC | $194 | $0 | $194 | 0.11% |
| TREVOR FENNELL3 | 11835 QUEENS BLVD STE 1403 FOREST HILLS, NY 11375 | AFLAC | $156 | $0 | $156 | 0.09% |
| JAMES (JAY) GRIMES3 Filed as: JAMES GRIMES | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $138 | $0 | $138 | 0.08% |
| JACQUES P DAVID CORPORATION3 | 125 JERICHO TPKE STE 201 JERICHO, NY 11753 | AFLAC | $88 | $0 | $88 | 0.05% |
| MICHAEL WOLFF3 | 500 TRIAL DUST DR CEDAR PARK, TX 78613 | AFLAC | $62 | $10 | $72 | 0.04% |
| GUNDERMANN & GUNDERMANN INC3 | 175 W CARVER STREET HUNTINGTON, NY 11743 | AFLAC | $47 | $0 | $47 | 0.03% |
| MICHAEL KANE3 | 88 WHITSON ROAD HUNTINGTON STATION, NY 11746 | AFLAC | $37 | $0 | $37 | 0.02% |
| S BEIN INC3 | 81 STEPHEN DRIVE PLAINVIEW, NY 11803 | AFLAC | $34 | $0 | $34 | 0.02% |
| DONALD BUDDE3 | 16 RIVERSIDE AVE UNIT A AMITYVILLE, NY 11701 | AFLAC | $32 | $0 | $32 | 0.02% |
| KATHERINE C WOOD3 Filed as: KATHERINE GRIMES | PO BOX 906 FOLLY BEACH, SC 29439 | AFLAC | $24 | $0 | $24 | 0.01% |
| PACKES J D CORP3 | 92 NORTH AVENUE SUITE 102 NEW ROCHELLE, NY 10801 | AFLAC | $22 | $0 | $22 | 0.01% |
| GREGORY MALONEY3 | 1300 VETERANS HWY STE 210 HAUPPAUGE, NY 11788 | AFLAC | $17 | $0 | $17 | 0.01% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: LISA-AN NEW WORLD ASSOC. INC. | 445 BROAD HOLLOW ROAD CL 17 MELVILLE, NY 11747 | AFLAC | $17 | $0 | $17 | 0.01% |
| SALLY ROBILOTTO3 | 101 BRIARCLIFF DR EAST NORWICH, NY 11732 | AFLAC | $16 | $0 | $16 | 0.01% |
| BRIEN C FLETCHER3 | 15 GARDEN AVE CARLE PLACE, NY 11514 | AFLAC | $16 | $0 | $16 | 0.01% |
| CHRISTOPHER MOORE3 | 4272 PERSIMMON WOODS DR NORTH CHARLESTON, SC 29420 | AFLAC | $13 | $0 | $13 | 0.01% |
| BRADLEY S RUPPEL3 Filed as: BRADLEY RUPPEL | 67 MAPLE PL HUNTINGTON, NY 11743 | AFLAC | $12 | $0 | $12 | 0.01% |
| MICHAEL S CHILLE3 | 22 CORPORATE WOODS BOULEVARD 4TH FLOOR ALBANY, NY 12211 | AFLAC | $12 | $0 | $12 | 0.01% |
| SJRDK ATTN REID KLEINMAN3 | PO BOX 20565 NEW YORK, NY 10021 | AFLAC | $12 | $0 | $12 | 0.01% |
| AMERICAN TEL-TEK INC.3 | 92 NORTH AVENUE SUITE 102 NEW ROCHELLE, NY 10801 | AFLAC | $9 | $0 | $9 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: KEVIN GALLAGHER | 173 GELSTON AVE APT 3D BROOKLYN, NY 11209 | AFLAC | $7 | $0 | $7 | 0.00% |
| MICHAEL S TEITELBAUM3 Filed as: MICHAEL TEITELBAUM | 76 WATERMAN AVE RUMSON, NC 07760 | AFLAC | $7 | $0 | $7 | 0.00% |
| ANTHONY ORGERA3 Filed as: ANTHONY CIPRIANO | 100 WALL ST FL 28 NEW YORK, NY 10005 | AFLAC | $7 | $0 | $7 | 0.00% |
| KEVIN MCCARTHY3 | 197 LANG DR NORTH KINGSTOWN, RI 02852 | AFLAC | $7 | $0 | $7 | 0.00% |
| KENNETH GRAF3 | 198 YONT WAY GREENSBURG, PA 15601 | AFLAC | $6 | $0 | $6 | 0.00% |
| SUZETTE JACOBS3 | 3 FORTUNE RD E MIDDLETOWN, NY 10941 | AFLAC | $3 | $0 | $3 | 0.00% |
| WALTER TOLSON3 | 104 SHELLEY LN FORT PIERCE, FL 34949 | AFLAC | $3 | $0 | $3 | 0.00% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK SIRACUSA | 225 DOLSON AVE SUITE 304 MIDDLETOWN, NY 10940 | AFLAC | $2 | $0 | $2 | 0.00% |
| MCINERNEY GROUP LLC3 | 580 WHITE PLAINS ROAD SUITE 600 TARYYTOWN, NY 10591 | AFLAC | $1 | $0 | $1 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 377 OAK STREET GARDEN CITY, NY 11530 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $13K | $3K | $16K | 15.92% |
| PETER J RIEBLING3 | 38 WOODLAND AVENUE W HAMPTON BEACH, NY 11978 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $11K | $0 | $11K | 11.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD STE 1000 ROLLING MEADOWS, IL 60008 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | $0 | $6K | 17.02% |
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 | 567 | 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) | 567 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 467 | $101K |
| Life insurance | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 567 | $34K |
| Other(2 contracts, 2 carriers) | AFLAC | 567 | $211K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 567 | — |
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.