| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT G RELPH AGENCY INC. | 400 WILLOWBROOK OFFICE PK STE 400 FAIRPORT, NY 14450 | EXCELLUS BLUECROSS BLUESHIELD | $68K | — | $68K | 3.75% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT G RELPH AGENCY, INC. | 400 WILLOWBROOK OFFICE PK STE 400 FAIRPORT, NY 14450 | EXCELLUS BLUECROSS BLUESHIELD | $6K | — | $6K | 7.95% |
| ROBERT G. RELPH AGENCY, INC.3 | 400 WILLOWBROOK OFFICE PARK SUITE 400 FAIRPORT, NY 14450 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $4K | — | $4K | 5.81% |
| NICHOLAS CALARCO3 | 30 GRANT STREET AUBURN, NY 13021 | AFLAC | $956 | $49 | $1K | 3.76% |
| DEBRA PARKER3 Filed as: DEBRA M PARKER | 20 BOWEN STREET AUBURN, NY 13021 | AFLAC | $467 | — | $467 | 1.75% |
| SUZANNE GOULD3 | 2741 SAND BEACH RD AUBURN, NY 13021 | AFLAC | $331 | $52 | $383 | 1.43% |
| JOSEPH P CALARCO3 | PO BOX 130 63 GENESEE STREET SUITE 2 AUBURN, NY 13021 | AFLAC | $261 | $17 | $278 | 1.04% |
| NICHOLAS CALARCO3 | 3118 STONEHENGE DR RICHARDSON, TX 75082 | AFLAC | $185 | — | $185 | 0.69% |
| JOSEPH P CALARCO3 | PO BOX 130 AUBURN, NY 13021 | AFLAC | $170 | — | $170 | 0.64% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT G RELPH AGENCY, INC | 400 WILLOWBROOK OFFICE PARK SUITE 400 FAIRPORT, NY 14450 | AFLAC | $111 | — | $111 | 0.42% |
| JOHN B INFERRERA3 | 174 GARNSEY RD PITTSFORD, NY 14534 | AFLAC | $84 | — | $84 | 0.31% |
| KIM ANNE FLOOD3 | 62 LAWRENCE AVE SMITHTOWN, NY 11787 | AFLAC | $70 | — | $70 | 0.26% |
| JEFF DALABA3 | 8500 GILLY FLOWER CT BALDWINSVILLE, NY 13027 | AFLAC | $58 | — | $58 | 0.22% |
| CHARLES L GRAY3 | 105 DAVENTRY LN SUITE 100 LOUISVILLE, KY 40223 | AFLAC | $56 | — | $56 | 0.21% |
| FALCONE ASSOCIATES3 Filed as: FALCONE ASSOCIATES, INC | 901 LODI ST SYRACUSE, NY 13203 | AFLAC | $55 | — | $55 | 0.21% |
| TERESA STRONG3 | PO BOX 52 MACEDON, NY 14502 | AFLAC | $50 | — | $50 | 0.19% |
| PATRICK RUHLE3 | 200 GARDEN CITY PLZ SUITE 410 GARDEN CITY, NY 11530 | AFLAC | $35 | — | $35 | 0.13% |
| BRAD JONES AND ASSOCIATES INC3 Filed as: BRAD JONES AND ASSOCIATES, INC | 19 BRITISH AMERICAN BLVD LATHAM, NY 12110 | AFLAC | $27 | — | $27 | 0.10% |
| JOHN E GLASER3 | 85 ARLINGTON RD LAKE RONKONKOMA, NY 11779 | AFLAC | $27 | — | $27 | 0.10% |
| KARL L FONDA3 | 311 BROOKSBORO DR WEBSTER, NY 14580 | AFLAC | $20 | — | $20 | 0.07% |
| SHAUN T KONIOR3 | 1410 MITCHEL FIELD WAY GARDEN CITY, NY 11530 | AFLAC | $16 | — | $16 | 0.06% |
| MICHELE L WILLIAMS3 | 12650 55TH RD N WEST PALM BEACH, FL 33411 | AFLAC | $15 | — | $15 | 0.06% |
| SHAUN T KONIOR3 | 31 STRATFORD GRN FARMINGDALE, NY 11735 | AFLAC | $11 | — | $11 | 0.04% |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $8 | — | $8 | 0.03% |
| STEVEN E DALABA3 | 7683 SEDGEWICK RIDGE RD LEWISVILLE, NC 27023 | AFLAC | $7 | — | $7 | 0.03% |
| JACQUES P DAVID CORPORATION3 | 125 JERICHO TPKE SUITE 201 JERICHO, NY 11753 | AFLAC | $7 | — | $7 | 0.03% |
| KELLY A IRVINE3 | 20620 EAST GOLDEN ELM DR ESTERO, FL 33928 | AFLAC | $5 | — | $5 | 0.02% |
| JACQUES P DAVID CORPORATION3 | 35 PINELAWN RD SUITE 190 MELVILLE, NY 11747 | AFLAC | $5 | — | $5 | 0.02% |
| LAURA BOHANNON3 | 23 S MARVINE AVE AUBURN, NY 13021 | AFLAC | $5 | — | $5 | 0.02% |
| KATHLEEN M MAXSON3 | 201 VAN OSTRAND RD GROTON, NY 13073 | AFLAC | $4 | — | $4 | 0.01% |
| MARK V AIOSSA III3 | 933 STRATFORD DR EAST MEADOW, NY 11554 | AFLAC | $4 | — | $4 | 0.01% |
| LAURIE L SMITH3 | 577 TRUESDALE HILL RD LAKE GEORGE, NY 12845 | AFLAC | $4 | — | $4 | 0.01% |
| KELLY A IRVINE3 | 15801 WHITE ORCHID LN FORT MYERS, FL 33908 | AFLAC | $4 | — | $4 | 0.01% |
| DUCK & COVER NY INC3 Filed as: DUCK AND COVER NY INC | 17 DALAMAR CT LATHAM, NY 12110 | AFLAC | $4 | — | $4 | 0.01% |
| RUSSELL T BARRETT3 | 665 SARATOGA RD APT 130 GANSEVOORT, NY 12831 | AFLAC | $3 | — | $3 | 0.01% |
| PAUL THOMAS GIANGRECO3 | 184 SWEENEY ST APT 424 NORTH TONAWANDA, NY 14120 | AFLAC | $3 | — | $3 | 0.01% |
| KEVIN MURPHY3 | 11 WILLOWBROOK TER CLIFTON PARK, NY 12065 | AFLAC | $2 | — | $2 | 0.01% |
| PAUL THOMAS GIANGRECO3 | 375 HARRIS HILL RD UNIT 232 WILLIAMSVILLE, NY 14221 | AFLAC | $2 | — | $2 | 0.01% |
| RICHARD J COMPO3 | 1780 US ROUTE UNIT 232 SENECA FALLS, NY 14221 | AFLAC | $2 | — | $2 | 0.01% |
| BENITO A ROTONDI II INC3 Filed as: BENITO A ROTONDI II, INC | 23 PINE RIDGE RD SARATOGA SPRINGS, NY 12866 | AFLAC | $2 | — | $2 | 0.01% |
| BRIAN WHITE3 | 6 COWDIN LN CHAPPAQUA, NY 10514 | AFLAC | $2 | — | $2 | 0.01% |
| GREGORY D MAZUROWSKI3 | 156 DEER RDG GETZVILLE, NY 14068 | AFLAC | $1 | — | $1 | 0.00% |
| MICHAEL P FARLEY3 | 1412 SWEET HOME RD SUITE 2 AMHERST, NY 14228 | AFLAC | $1 | — | $1 | 0.00% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT G RELPH AGENCY, INC. | 400 WILLOWBROOK OFFICE PARK SUITE 400 FAIRPORT, NY 14450 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $2K | — | $2K | 14.43% |
| ROBERT G. RELPH AGENCY, INC.3 | 400 WILLOWBROOK OFFICE PARK SUITE 300 FAIRPORT, NY 14450 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $1K | — | $1K | 15.00% |
| ROBERT G. RELPH AGENCY, INC.3 | 400 WILLOWBROOK OFFICE PARK SUITE 400 FAIRPORT, NY 14450 | SHELTERPOINT | $424 | — | $424 | 11.99% |
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 | 172 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 177 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EXCELLUS BLUECROSS BLUESHIELD | 223 | $1.8M |
| Dental | EXCELLUS BLUECROSS BLUESHIELD | 235 | $78K |
| Vision | SHELTERPOINT | 14 | $4K |
| Life insurance | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 172 | $63K |
| Short-term disability | AFLAC | 41 | $27K |
| Long-term disability | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 172 | $16K |
| Prescription drug | EXCELLUS BLUECROSS BLUESHIELD | 223 | $1.8M |
| Other(3 contracts, 2 carriers) | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 283 | $98K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 283 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.