| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARY LEVINE AND ASSOCIATES LTD3 | 445 BROADHOLLOW ROAD SUITE 119 MELVILLE, NY 11747 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $50K | $0 | $50K | 3.49% |
| 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 | 2.32% |
| GARY LEVINE AND ASSOCIATES LTD3 Filed as: GARY LEVINE & ASSOCIATES | 445 BROADHOLLOW ROAD MELVILLE, NY 11747 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $0 | $4K | 14.54% |
| FRANK JOSEPH AMBRIANO3 | 6 MARIE DRIVE HUNTINGTON, NY 11743 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 8.04% |
| MJ INSURANCE3 Filed as: ELIZABETH WILLIAMS & VARIOUS AGENTS | 118-25 179TH STREET JAMAICA, NY 11434 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $272 | $2K | 5.58% |
| ALYSSA RAE TORRES3 | 1574 56TH STREET BROOKLYN, NY 11219 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $34 | $1K | 4.44% |
| ROCHELLE DIANE KELLY-PERRY THOMAS3 | 5 NORTH WESLEY COURT HUNTINGTON, NY 11743 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $527 | $634 | $1K | 3.86% |
| WALTER THOMAS BONILLA3 | 9 LONGLEAF LANE MEDFORD, NY 11763 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $544 | $419 | $963 | 3.20% |
| LAUREN JACOBS3 | 17 ECHO LANE LEVITTOWN, NY 11756 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $795 | $16 | $811 | 2.69% |
| FRANK JOSEPH AMBRIANO3 | 6 MARIE DRIVE HUNTINGTON, NY 11743 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $0 | $1K | 6.45% |
| GARY LEVINE AND ASSOCIATES LTD3 Filed as: GARY LEVINE & ASSOCIATES | 445 BROADHOLLOW ROAD MELVILLE, NY 11747 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $0 | $1K | 6.13% |
| ROCHELLE DIANE KELLY-PERRY THOMAS3 | 5 NORTH WESLEY COURT HUNTINGTON, NY 11743 | THE PAUL REVERE LIFE INSURANCE COMPANY | $350 | $191 | $541 | 2.98% |
| TYRONE HOLLAND3 | 79 WEDGEWOOD DRIVE CORAM, NY 11727 | THE PAUL REVERE LIFE INSURANCE COMPANY | $478 | $0 | $478 | 2.64% |
| LAUREN JACOBS3 | 17 ECHO LANE LEVITTOWN, NY 11756 | THE PAUL REVERE LIFE INSURANCE COMPANY | $467 | $8 | $475 | 2.62% |
| WALTER THOMAS BONILLA3 | 9 LONGLEAF LANE MEDFORD, NY 11763 | THE PAUL REVERE LIFE INSURANCE COMPANY | $227 | $87 | $314 | 1.73% |
| MJ INSURANCE3 Filed as: NICOLE BALABANOFF & VARIOUS AGENTS | 157 EAST 118TH STREET, SUITE 7 NEW YORK, NY 10035 | THE PAUL REVERE LIFE INSURANCE COMPANY | $159 | $0 | $159 | 0.88% |
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 | 154 | 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) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 245 | $1.4M |
| Dental | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 245 | $1.4M |
| Vision | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 245 | $1.4M |
| Prescription drug | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 245 | $1.4M |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 15 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 245 | — |
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.