| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | TWO PIERCE PLACE ITASCA, IL 60143 | AETNA INC. | $18K | $113 | $18K | 5.48% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | TWO PIERCE PLACE 21ST FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | $12K | — | $12K | 8.06% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 2 PIERCE PLACE 14TH FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | — | $2K | $2K | 1.26% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | TWO PIERCE PLACE 21ST FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | $4K | — | $4K | 3.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | TWO PIERCE PLACE 14TH FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | — | $1K | $1K | 1.25% |
| CHRISTOPHER E MOORE | 4272 PERSIMMON WOODS DRIVE NORTH CHARLESTON, SC 29420 | AFLAC | $1K | — | $1K | 2.92% |
| NANCY LAPHAM Filed as: NANCY A HOAGLAND | 223 BROOK STREET OAKDALE, NY 11769 | AFLAC | $1K | — | $1K | 2.26% |
| GALLAGHER BENEFIT SERVICES, INC. Filed as: GALLAGHER BENEFIT SERVICES INC | 2 PIERCE PLACE 14TH FLOOR ITASCA, IL 60143 | AFLAC | $982 | — | $982 | 2.01% |
| PATRICK RUHLE | 200 GARDEN CITY PLAZA SUITE 410 GARDEN CITY, NY 11530 | AFLAC | $642 | $9 | $651 | 1.33% |
| BARBARA FONTI3 | 223 WALL STREET SUITE 159 HUNTINGTON, NY 11743 | AFLAC | $567 | $43 | $610 | 1.25% |
| JAMES (JAY) GRIMES | 6165 WATERFORD RD COLUMBUS, GA 31904 | AFLAC | $404 | — | $404 | 0.83% |
| MICHAEL S CHILLE3 | 22 CORPORATE WOODS BLVD. 4TH FLOOR ALBANY, NY 12211 | AFLAC | $203 | — | $203 | 0.42% |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $200 | — | $200 | 0.41% |
| ANN FISCHER | 16 MYSTIC LANE NORTHPORT, NY 11768 | AFLAC | $166 | — | $166 | 0.34% |
| PHILIP MINARCIK3 | 1 MARVIN LANE COMMACK, NY 11725 | AFLAC | $140 | — | $140 | 0.29% |
| ROBERT NIVEYRO3 | 47 FOXGLOVE ROW RIVERHEAD, NY 11901 | AFLAC | $96 | — | $96 | 0.20% |
| WILLIAM WHICHER Filed as: WILLIAM H WHICHER | 1 LINDEN ST GARDEN CITY, NY 11530 | AFLAC | $78 | $9 | $87 | 0.18% |
| BARBARA ANN MEYER Filed as: BARBARA MEYER | 6 HICKORY LANE LEVITTOWN, NY 11756 | AFLAC | $83 | — | $83 | 0.17% |
| MICHAEL PASQUALY DESTEFANO3 Filed as: MICHAEL DESTEFANO | 4250 VETERANS MEMORIAL HIGHWAY STE. 1015 W HOLBROOK, NY 11741 | AFLAC | $61 | — | $61 | 0.12% |
| SHAUN T KONIOR | 1410 MITCHEL FIELD WAY GARDEN CITY, NY 11530 | AFLAC | $43 | — | $43 | 0.09% |
| KENNETH J HARASYM3 | 159 ROUTE 25A UNIT 1 STE D MILLER PLACE, NY 11764 | AFLAC | $31 | — | $31 | 0.06% |
| LEWIS R B ASSOCIATES INC | 22 JERICHO TPKE SUITE 105 MINEOLA, NY 11501 | AFLAC | $31 | — | $31 | 0.06% |
| BRADLEY S RUPPEL | 67 MAPLE PL. HUNTINGTON, NY 11743 | AFLAC | $25 | — | $25 | 0.05% |
| DIANE ANDREE3 | 15 SMITH STREET MASTIC, NY 11950 | AFLAC | $21 | — | $21 | 0.04% |
| EDWIN O'CONNOR | P.O. BOX 166 MASSAPEQUA, NY 11758 | AFLAC | $17 | — | $17 | 0.03% |
| MCINERNEY GROUP LLC | 580 WHITE PLAINS ROAD SUITE 600 TARRYTOWN, NY 10591 | AFLAC | $9 | — | $9 | 0.02% |
| BRIAN WHITE | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $8 | $1 | $9 | 0.02% |
| BENITO A ROTONDI II INC Filed as: BENITO A ROTONDI II LLC | 401 FRANKLIN AVE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $5 | $1 | $6 | 0.01% |
| TODD J BURKE CORP | 2 IRIS LN GARDEN CITY, NY 11530 | AFLAC | $1 | — | $1 | 0.00% |
| SAL RESTIVO INSURANCE BROKERAGE COR | 32 HASKEL LANE STONY BROOK, NY 11790 | AFLAC | $1 | — | $1 | 0.00% |
| KATHERINE C WOOD Filed as: KATHERINE GRIMES | PO BOX 906 FOLLY BEACH, SC 29439 | AFLAC | $1 | — | $1 | 0.00% |
| THE MEYER AGENCY LTD | PO BOX 112829 NAPLES, FL 34108 | AFLAC | $1 | — | $1 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC. Filed as: GALLAGHER BENEFIT SERVICES | TWO PIERCE PLACE ITASCA, IL 60143 | HM LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| AMANDA HELMAN Filed as: AMANDA J HELMAN | 2550 STONEHAVEN DR SUN PRAIRIE, WI 53590 | AFLAC | $522 | — | $522 | 3.25% |
| BARBARA ANN MEYER | 6 HICKORY LANE LEVITTOWN, NY 11756 | AFLAC | $382 | — | $382 | 2.38% |
| KEVIN F WARD | 12632 DOUBLE EAGLE DR CARMEL, IN 46033 | AFLAC | $161 | — | $161 | 1.00% |
| JAMES BUONFIGLIO3 | 485 UNDERHILL BLVD SUITE 304 SYOSSET, NY 11791 | AFLAC | $126 | — | $126 | 0.79% |
| SHANA WOLF | 11260 CHESTER RD SUITE 500 CINCINNATI, OH 45246 | AFLAC | $74 | — | $74 | 0.46% |
| ROBERT FELIX Filed as: ROBERT S FELIX | 6650 WILMOT LN AVON, IN 46123 | AFLAC | $64 | — | $64 | 0.40% |
| BROWN AND BROWN OF FLORIDA, INC. Filed as: BROWN & BROWN OF INDIANA INC. | 11555 N MERIDIAN STREET SUITE 220 CARMEL, IN 46032 | AFLAC | $56 | — | $56 | 0.35% |
| ROBERT NIVEYRO3 | 47 FOXGLOVE ROW RIVERHEAD, NY 11901 | AFLAC | $45 | — | $45 | 0.28% |
| KENNETH MEIER3 | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $42 | — | $42 | 0.26% |
| NAVILLE & ASSOCIATES3 | 14220 OVERBROOK DR CARMEL, IN 46074 | AFLAC | $36 | — | $36 | 0.22% |
| BARBARA FONTI Filed as: BARBARA A FONTI | 223 WALL ST. #159 HUNTINGTON, NY 11743 | AFLAC | $29 | — | $29 | 0.18% |
| MELISSA A BRINKER Filed as: MELISSA BRINKER | 11260 CHESTER RD STE 100 CINCINNATI, OH 45246 | AFLAC | $24 | — | $24 | 0.15% |
| CAROL MULLEN3 | 1708 MT VERNON DRIVE COVINGTON, KY 41011 | AFLAC | $21 | — | $21 | 0.13% |
| MARLENE GUTTMAN | 9201 SHALLOW CREEK DRIVE LOVELAND, OH 45140 | AFLAC | $21 | — | $21 | 0.13% |
| KATHRYN HOFFMAN3 | 755 DORGENE LANE CINCINNATI, OH 45244 | AFLAC | $16 | — | $16 | 0.10% |
| LORAINE SOMMER INC Filed as: LORAINE BARBARA SOMMER | 2188 NESCONSET HWY 250 STONY BROOK, NY 11790 | AFLAC | $15 | — | $15 | 0.09% |
| TODD BURKE3 | 1 SEAPORT PLAZA 23RD FLOOR NEW YORK, NY 10038 | AFLAC | $14 | — | $14 | 0.09% |
| ASSUREDPARTNERS Filed as: LINDA N SHEPHERD | 7463 BRIDGE POINT PASS CINCINNATI, OH 45248 | AFLAC | $11 | — | $11 | 0.07% |
| QUINN, MEYER & ASSOCIATES3 | 10800 WINCHCOMBE DR DUBLIN, OH 43016 | AFLAC | $8 | — | $8 | 0.05% |
| DEBRA HENDRICKSON3 | 17 RIDGE WOOD DRIVE MONROE, OH 45050 | AFLAC | $6 | — | $6 | 0.04% |
| JOHN T CLANCY Filed as: JOHN CLANCY | 4025 PETE DYE BLVD. CARMEL, IN 46033 | AFLAC | $2 | — | $2 | 0.01% |
| MATTHEW G BERGER Filed as: MATTHEW COOK | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $2 | — | $2 | 0.01% |
| MARK A WOJDA Filed as: MARK WOJDA | 631 GREENFORD TRL W CARMEL, IN 46032 | AFLAC | $2 | — | $2 | 0.01% |
| MICHAEL E MCCARTHY | PO BOX 1047 DUNDEE, IL 60118 | AFLAC | $1 | — | $1 | 0.01% |
| AMY E COHEN Filed as: AMY GEHLHAUSEN | 3115 HOWARD DR JASPER, IN 47546 | AFLAC | $1 | — | $1 | 0.01% |
| BENITO A ROTONDI II INC Filed as: BENITO ROTONDI II | 401 FRANKLIN AVE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $1 | — | $1 | 0.01% |
| ASSUREDPARTNERS Filed as: JENNIFER MITCHEN | 9247 N MERIDIAN ST SUITE 205 INDIANAPOLIS, IN 46260 | AFLAC | $1 | — | $1 | 0.01% |
| BRIANNA LYNN ROWE Filed as: BRIANNA ROWE | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | — | — | $0 | 0.00% |
| RONALD J GRETHEL Filed as: RONALD GRETHEL | 648 HANNA AVE LOVELAND, OH 45140 | AFLAC | — | — | $0 | 0.00% |
| JOHN C RASCHELLA Filed as: JOHN RASCHELLA | 20301 GRD OAK SH BLVD #118-32 ESTERO, FL 33928 | AFLAC | — | — | $0 | 0.00% |
| BRIAN WHITE | 6 COWDIN LN CHAPPAQUA, NY 10514 | AFLAC | — | — | $0 | 0.00% |
| KANDACE M MCCARTHY Filed as: KANDACE MCCARTHY | 304 CANTERFIELD PKWY W PO BOX 1047 WEST DUNDEE, IL 60118 | AFLAC | — | — | $0 | 0.00% |
| GREGORY MEYER | 1582 RUNNING DEER DR KERNERSVILLE, NC 27284 | AFLAC | — | — | $0 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | TWO PIERCE PLACE 14TH FLOOR ITASCA, NY 60143 | JOHN HANCOCK | $2K | — | $2K | 11.54% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 116 HUNTINGTON AVE BOSTON, MA 02116 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $71K | — | $71K | — |
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 | 425 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 428 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA INC. | 868 | $331K |
| Vision | HM LIFE INSURANCE COMPANY | 937 | $40K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 326 | $325K |
| Long-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 326 | $144K |
| Other(5 contracts, 4 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 328 | $179K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 937 | — |
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.