| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARY LEVINE AND ASSOCIATES LTD3 | 350 MOTOR PARKWAY, SUITE 404 HAUPPAUGE, NY 11788 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $48K | $0 | $48K | 3.86% |
| EMERSON REID LLC3 Filed as: EMERSON REID AND COMPANY, INC. | 5200 NORTH PALM AVENUE, SUITE 114 FRESNO, CA 93704 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $0 | $33K | $33K | 2.60% |
| FRANK JOSEPH AMBRIANO3 | 6 MARIE DRIVE HUNTINGTON, NY 11743 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | $0 | $3K | 18.34% |
| LAUREN JACOBS3 | 17 ECHO LANE LEVITTOWN, NY 11756 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $0 | $1K | 9.02% |
| ROCHELLE DIANE KELLY-PERRY THOMAS3 | 1225 FRANKLIN AVENUE GARDEN CITY, NY 11530 | THE PAUL REVERE LIFE INSURANCE COMPANY | $631 | $511 | $1K | 8.36% |
| WALTER THOMAS BONILLA3 | 9 LONGLEAF LANE MEDFORD, NY 11763 | THE PAUL REVERE LIFE INSURANCE COMPANY | $500 | $445 | $945 | 6.92% |
| GURDEEP K. SOKHEY3 | 1837 STUYVESANT AVENUE EAST MEADOW, NY 11554 | THE PAUL REVERE LIFE INSURANCE COMPANY | $744 | $0 | $744 | 5.45% |
| GARY LEVINE AND ASSOCIATES LTD3 | 350 MOTOR PARKWAY, SUITE 404 HAUPPAUGE, NY 11788 | THE PAUL REVERE LIFE INSURANCE COMPANY | $314 | $0 | $314 | 2.30% |
| MJ INSURANCE3 Filed as: NORMA STEELE AND VARIOUS AGENTS | 1468 HANCOCK STREET ELMONT, NY 11003 | THE PAUL REVERE LIFE INSURANCE COMPANY | $303 | $8 | $311 | 2.28% |
| PATRICK MICHAEL KIERNAN3 | 52A MAPLE AVENUE BAY SHORE, NY 11706 | THE PAUL REVERE LIFE INSURANCE COMPANY | $41 | $11 | $52 | 0.38% |
| WALTER THOMAS BONILLA3 | 9 LONGLEAF LANE MEDFORD, NY 11763 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $175 | $2K | $2K | 20.71% |
| ROCHELLE DIANE KELLY-PERRY THOMAS3 | 1225 FRANKLIN AVENUE GARDEN CITY, NY 11530 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $208 | $633 | $841 | 9.08% |
| FRANK JOSEPH AMBRIANO3 | 6 MARIE DRIVE HUNTINGTON, NY 11743 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $627 | $207 | $834 | 9.00% |
| MARK E WERNER II3 | 4423 WYNN ROAD BALTIMORE, MD 21236 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $591 | $0 | $591 | 6.38% |
| LAUREN JACOBS3 | 17 ECHO LANE LEVITTOWN, NY 11756 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $230 | $13 | $243 | 2.62% |
| ELIZABETH ANN WILLIAMS3 | 118-25 179TH STREET JAMAICA, NY 11434 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $174 | $0 | $174 | 1.88% |
| ELIZABETH ANN WILLIAMS3 Filed as: ELIZABETH WILLIAMS AND OTHER AGENTS | 118-25 179TH STREET JAMAICA, NY 11434 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $105 | $31 | $136 | 1.47% |
| GARY LEVINE AND ASSOCIATES LTD3 Filed as: GARY LEVINE AND ASSOCIATES | 1800 WALT WHITMAN ROAD MELVILLE, NY 11747 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $135 | $0 | $135 | 1.46% |
| MJ INSURANCE3 Filed as: JEFFREY MOTSCO AND VARIOUS AGENTS | 5965 SANDY RIDGE ELKRIDGE, MD 21075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | $13 | $37 | 0.40% |
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 | 223 | 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) | 223 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 259 | $1.2M |
| Dental | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 259 | $1.2M |
| Vision | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 259 | $1.2M |
| Prescription drug | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 259 | $1.2M |
| Other(2 contracts, 2 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 9 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 259 | — |
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.