| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN CORPORATE BENEFITS INC3 Filed as: AMERICAN CORPORATE BENEFITS INC. | 62 WILLIAM STREET 4TH FLOOR NEW YORK, NY 10005 | DELTA DENTAL OF NEW YORK | $8K | — | $8K | 5.00% |
| AMERICAN CORPORATE BENEFITS INC3 | 62 WILLIAM STREET 4TH FLOOR NEW YORK, NY 10005 | MUTUAL OF OMAHA INSURANCE COMPANY | $15K | — | $15K | 29.80% |
| AMERICAN CORPORATE BENEFITS INC3 | 62 WILLIAM STREET FLOOR 4 NEW YORK, NY 10005 | COMPANION LIFE INSURANCE COMPANY | $20K | — | $20K | 56.85% |
| SIMONE HIRSCH3 | 7 MAPLE RUN DRIVE JERICHO, NY 11753 | AFLAC | $2K | — | $2K | 6.07% |
| CHRISTINE WALSH3 | 255 WEST NECK ROAD HUNTINGTON, NY 11743 | AFLAC | $619 | — | $619 | 1.99% |
| JACQUES P DAVID CORPORATION3 | 125 JERICHO TURNPIKE SUITE 201 JERICHO, NY 11753 | AFLAC | $444 | — | $444 | 1.43% |
| EMERSON REID LLC3 | 15 ENGLE STREET BASEMENT 3 ENGLEWOOD, NJ 07631 | AFLAC | $353 | — | $353 | 1.14% |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $280 | — | $280 | 0.90% |
| DAWN MASCHAS3 | 11 RACEBROOK DRIVE BETHEL, CT 06801 | AFLAC | $54 | — | $54 | 0.17% |
| DAWN MASCHAS3 | 1277 SOUTHWEST HIGH POINT LANE PALM CITY, FL 34990 | AFLAC | $30 | — | $30 | 0.10% |
| TODD J BURKE CORP3 | 2 IRIS LANE GARDEN CITY, NY 11530 | AFLAC | $21 | — | $21 | 0.07% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $16 | — | $16 | 0.05% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $7 | — | $7 | 0.02% |
| MARCELLUS BRYANT3 | 17 QUINTARD DRIVE PORT CHESTER, NY 10573 | AFLAC | $7 | — | $7 | 0.02% |
| FRIDAY CD FLATT3 | 4570 CARLTON GOLF DRIVE LAKE WORTH, FL 33449 | AFLAC | $4 | — | $4 | 0.01% |
| DOMINICK R ROTINDO3 | 4133 LAUREL ESTATES WAY WELLINGTON, FL 33449 | AFLAC | $4 | — | $4 | 0.01% |
| DOMINICK R ROTINDO3 | 4570 CARLTON GOLF ROAD WELLINGTON, FL 33449 | AFLAC | $4 | — | $4 | 0.01% |
| MICHAEL S CHILLE3 | 12 ST THOMAS MORE DRIVE WINCHESTER, MA 01890 | AFLAC | $2 | — | $2 | 0.01% |
| AMERICAN CORPORATE BENEFITS INC3 | 62 WILLIAM STREET FOURTH FLOOR NEW YORK, NY 10005 | MUTUAL OF OMAHA INSURNCE COMPANY | $6K | — | $6K | 57.80% |
| AMERICAN CORPORATE BENEFITS INC3 | 62 WILLIAM STREET 4TH FLOOR NEW YORK, NY 10005 | PRINCIPAL LIFE INSURANCE COMPANY | $667 | $201 | $868 | 8.63% |
| GA SOLUTIONS LLC3 | 50 BROADWAY SUITE 2 HAWTHORNE, NY 10532 | PRINCIPAL LIFE INSURANCE COMPANY | $302 | $108 | $410 | 4.08% |
| BEACON WORKSITE LLC3 Filed as: BEACON WORKSITE, LLC | 125 WOLF ROAD ALBANY, NY 12205 | ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK | $254 | — | $254 | 2.82% |
| EMERSON REID LLC3 Filed as: EMERSON REID & CO | 1305 WALT WHITMAN ROAD SUITE 310 MELVILLE, NY 11747 | ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK | $70 | — | $70 | 0.78% |
| AMERICAN CORPORATE BENEFITS INC3 | 62 WILLIAN STREET 4TH FLOOR NEW YORK, NY 10005 | ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK | $68 | — | $68 | 0.76% |
| WILLIAM VELTO3 | 4 SPENCER COURT ORANGEBURG, NY 10962 | ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK | $30 | — | $30 | 0.33% |
| EMERSON REID LLC3 Filed as: EMERSON REID & CO | 1305 WALT WHITMAN ROAD SUITE 310 MELVILLE, NY 11747 | ALLSTATE LIFE INSURANCE COMPANY OF NEW YORK | $9 | — | $9 | 0.10% |
| AMERICAN CORPORATE BENEFITS INC3 | 62 WILLIAM STREET FOURTH FLOOR NEW YORK, NY 10005 | MUTUAL OF OMAHA INSURANCE COMPANY | $2K | — | $2K | 56.84% |
| AMERICAN CORPORATE BENEFITS INC3 Filed as: AMERICAN CORPORATE BENEFIS INC | 62 WILLIAM STREET FLOOR 4 NEW YORK, NY 10005 | MUTUAL OF OMAHA INSURANCE COMPANY | $337 | — | $337 | 68.22% |
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 | 163 | 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) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF NEW YORK | 159 | $160K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 158 | $10K |
| Life insurance(2 contracts, 2 carriers) | COMPANION LIFE INSURANCE COMPANY | 165 | $38K |
| Short-term disability | MUTUAL OF OMAHA INSURNCE COMPANY | 34 | $11K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 156 | $51K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 412 | $861K |
| Other(7 contracts, 5 carriers) | MUTUAL OF OMAHA INSURANCE COMPANY | 165 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 412 | — |
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."
No prospect flags tripped on this filing.