| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SIGNATURE BENEFITS LLC3 Filed as: SIGNATURE GROUP, LLC | 950 FRANKLIN AVENUE GARDEN CITY, NY 11530 | AETNA LIFE INSURANCE COMPANY | $4K | — | $4K | 1.48% |
| EMERSON REID LLC3 Filed as: EMERSON REID & COMPANY INC. | 1305 WALT WHITMAN ROAD #310 MELVILLE, NY 11747 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $1K | $20K | $21K | 12.97% |
| TSG FINANCIAL LLC3 | 1325 FRANKLIN AVENUE SUITE 540 GARDEN CITY, NY 11530 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $1K | — | $1K | 0.91% |
| SIGNATURE BENEFITS LLC3 Filed as: THE SIGNATURE GROUP LLC | 950 FRANKLIN AVENUE GARDEN CITY, NY 11530 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $220 | — | $220 | 0.14% |
| FRANK M DARTEE3 Filed as: FRANK M. DARTEE | 12 MOONSHADOW COURT KINNELON, NJ 07405 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | $1K | $3K | 2.81% |
| TSG FINANCIAL LLC3 Filed as: TSG FINANCIAL, LLC | 1325 FRANKLIN AVENUE GARDEN CITY, NY 11530 | THE PAUL REVERE LIFE INSURANCE COMPANY | $953 | $872 | $2K | 1.62% |
| DIANE G. DAVIDSON3 | 72 HIGH STREET BUTLER, NJ 07405 | THE PAUL REVERE LIFE INSURANCE COMPANY | $325 | $286 | $611 | 0.54% |
| MICHELLE DARTEE3 | 12 MOONSHADOW COURT KINNELON, NJ 07405 | THE PAUL REVERE LIFE INSURANCE COMPANY | $101 | $112 | $213 | 0.19% |
| WILLIAM E GOOD3 Filed as: WILLIAM E. GOOD | 311 BOWIE STREET AUSTIN, TX 78703 | THE PAUL REVERE LIFE INSURANCE COMPANY | $109 | $28 | $137 | 0.12% |
| PGP LIFE BROKERAGE INC.3 | 225 WIRELESS BLVD 1ST FLOOR HAUPPAGE, NY 11788 | THE PAUL REVERE LIFE INSURANCE COMPANY | $75 | $52 | $127 | 0.11% |
| CLARICE R MIMS3 Filed as: CLARICE R. MIMS | 172-90 HIGHLAND AVENUE JAMAICA ESTATES, NY 11432 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2 | $91 | $93 | 0.08% |
| TOMMY TAM3 | 418 EAST 74TH STREET NEW YORK, NY 10021 | THE PAUL REVERE LIFE INSURANCE COMPANY | $18 | $52 | $70 | 0.06% |
| JAMEL WRIGHT3 | 341 MIDWOOD STREET BROOKLYN, NY 11237 | THE PAUL REVERE LIFE INSURANCE COMPANY | $14 | $33 | $47 | 0.04% |
| PROSPERITY SOLUTIONS ENTERPRISES LL3 Filed as: PROSPERITY SOLUTIONS ENTERPRISES LI | 17 DOGWOOD DRIVE STATEN ISLAND, NY 10312 | THE PAUL REVERE LIFE INSURANCE COMPANY | $4 | $3 | $7 | 0.01% |
| BRYLIN EMPLOYEE BENEFITS LLC3 | 37 PONDVIEW DRIVE ALLENTOWN, NJ 08501 | THE PAUL REVERE LIFE INSURANCE COMPANY | — | $7 | $7 | 0.01% |
| BRIAN SUMMERS3 | 90 WEST STREET NEW YORK, NY 10006 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1 | $1 | $2 | 0.00% |
| EVELYN GARCIA3 | 1562 1ST AVENUE NEW YORK, NY 10028 | THE PAUL REVERE LIFE INSURANCE COMPANY | — | $2 | $2 | 0.00% |
| KEVIN HANEY3 | 21 MASON AVENUE EAST BRUNSWICK, NJ 08816 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| SALATHIEL MALDONADO3 | 3717 CYPRESS AVENUE BROOKLYN, NY 11224 | THE PAUL REVERE LIFE INSURANCE COMPANY | — | $1 | $1 | 0.00% |
| HOWARD HOROWITZ3 Filed as: HOWARD P. DILEMA | 55 BROADWAY NEW YORK, NY 10006 | THE PAUL REVERE LIFE INSURANCE COMPANY | — | $1 | $1 | 0.00% |
| SIGNATURE BENEFITS LLC3 Filed as: THE SIGNATURE B AND B COMPANIES | 501 FRANKLIN AVENUE #218 GARDEN CITY, NY 11530 | FEDERAL INSURANCE COMPANY | $478 | — | $478 | 15.02% |
| EMERSON REID LLC3 Filed as: EMERSON REID & COMPANY INC. | 1305 WALT WHITMAN ROAD #310 MELVILLE, NY 11747 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $1K | $9K | $10K | — |
| TSG FINANCIAL LLC3 | 1325 FRANKLIN AVENUE SUITE 540 GARDERN CITY, NY 11530 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $2K | — | $2K | — |
| SIGNATURE BENEFITS LLC3 Filed as: THE SIGNATURE GROUP LLC | — | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $304 | — | $304 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $637K |
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 | 1,076 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,076 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 1,159 | $281K |
| Life insurance | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 1,256 | $161K |
| Long-term disability | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 1,076 | $0 |
| Other(2 contracts, 2 carriers) | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 1,256 | $164K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,256 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.