| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THOMAS DIMATTINA3 Filed as: THOMAS J DIMATTINA | 490 WHEELER ROAD 185 HAPPAUGE, NY 11788 | AETNA LIFE INSURANCE CO | $548K | — | $548K | 5.55% |
| THOMAS DIMATTINA3 | 490 WHEELER ROAD HAUPPAUGE, NY 11788 | AETNA LIFE INSURANCE CO | $20K | — | $20K | 2.35% |
| THOMAS DIMATTINA3 | 6 MEADOWLARK DR EAST NORTHPORT, NY 11731 | ANTHEM LIFE INSURANCE | $22K | — | $22K | 8.19% |
| THOMAS DIMATTINA3 | 490 WHEELER ROAD STE 165E HAUPPAUGE, NY 11787 | ANTHEM LIFE INSURANCE | $2K | — | $2K | 0.85% |
| THOMAS DIMATTINA3 Filed as: THOMAS J DIMATTINA | 490 WHEELER ROAD SUITE 165E HAUPPAUGE, NY 11788 | SHELTER POINT LIFE INSURANCE CO. | $5K | — | $5K | 3.40% |
| THOMAS DIMATTINA3 | 490 WHEELER ROAD 185 HAUPPAUGE, NY 11788 | AETNA LIFE INSURANCE COMPANY | $15K | — | $15K | 9.98% |
| THOMAS DIMATTINA3 Filed as: THOMAS J. DIMATTINA | 111 CAPE CODE WAY MOORESVILLE, NC 28117 | SHELTER POINT LIFE INSURANCE CO. | $6K | — | $6K | 12.00% |
| THOMAS DIMATTINA3 Filed as: THOMAS J DIMATTINA | 111 CAPE CODE WAY MOORESVILLE, NC 28117 | SHELTER POINT LIFE INSURANCE CO. | $2K | — | $2K | 12.00% |
| THOMAS DIMATTINA3 | 490 WHEELER ROAD 185 HAUPPAUGE, NY 11788 | AETNA LIFE INSURANCE CO. | $425 | — | $425 | 2.66% |
| THOMAS DIMATTINA3 Filed as: THOMAS J DIMATTINA | 111 CAPE CODE WAY MOORESVILLE, NC 28117 | SHELTER POINT LIFE | $811 | — | $811 | 12.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FITZSIMMONS ABRAMS LLP EIN 13-2858927 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 7600 JERICHO TPKE STE 210 WOODBURY, NY 11797 | $210K |
| PROSKAUER ROSE LLP EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | ELEVEN TIMES SQUARE NEW YORK, NY 10036 | $152K |
| LISA PARISI EIN 13-1567895 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 100 MERRICK ROAD STE 500W ROCKVILLE CENTRE, NY 11570 | $81K |
| BOYD WATTERSON ASSET MANAGEMENT LLC EIN 34-1922005 NONE | Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Investment management Service code 28 | 1801 EAST 9TH ST STE 1400 CLEVLAND, OH 44114 | $70K |
| LAW OFFICES OF MARKOWITZ & RICHMAN EIN 23-2111581 NONE | Legal; Direct payment from the plan Service code 29 | 123 SOUTH BROADWAY STREET PHILADELPHIA, PA 19109 | $65K |
| JBM COMPUTER CONSULTANTS, INC. EIN 16-1173118 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general) Service code 15 | 20 NORTH AMERICAN DRIVE WEST SENECA, NY 14224 | $53K |
| DIANE FERCHLAND EIN 13-1567895 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 100 MERRICK ROAD STE 500W ROCKVILLE CENTRE, NY 11570 | $47K |
| REYNOLDS CONSULTING SERVICES EIN 20-1899564 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | 25 NEWBRIDGE ROAD HICKSVILLE, NY 11801 | $27K |
| POLEN CAPITAL MANAGEMENT EIN 26-0319356 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 1825 NW CORPORATE BLVD BOCA RATON, FL 33431 | $26K |
| EVEREADY GRAPHICS EIN 46-3471000 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 2526 BUTLER PLACE BRONX, NY 10461 | $26K |
| LEGG MASON AND COMPANY LLC EIN 01-0846058 NONE | Investment management fees paid directly by plan; Soft dollars commissions; Investment management Service code 28 | 55 WATER STREET, 32 NEW YORK, NY 10041 | $17K |
| COHEN, WEISS & SIMON LLP EIN 13-1592323 NONE | Legal; Direct payment from the plan Service code 29 | 900 3RD AVE FL 21 NEW YORK, NY 10022 | $17K |
| FIRST ACTUARIAL CONSULTING, INC. EIN 26-3842522 NONE | Actuarial; Direct payment from the plan Service code 11 | 1501 BROADWAY STE 1728 NEW YORK, NY 10036 | $15K |
| WARD FISHER & CO EIN 05-6016572 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 250C CENTERVILLE ROAD WARWICK, RI 02886 | $11K |
| AMALGAMATED BANK EIN 13-4940330 NONE | Investment management fees paid directly by plan; Custodial (securities); Accounting (including auditing) Service code 10 | 275 7TH AVE NEW YORK, NY 10001 | $8K |
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 | 993 | 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) | 993 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO | 1,807 | $9.9M |
| Dental | AETNA LIFE INSURANCE CO | 1,807 | $9.9M |
| Vision(3 contracts) | SHELTER POINT LIFE INSURANCE CO. | 474 | $73K |
| Life insurance | ANTHEM LIFE INSURANCE | 877 | $270K |
| Long-term disability | SHELTER POINT LIFE INSURANCE CO. | 699 | $150K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,807 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.