| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | — | $22K | $22K | 1.18% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $11K | $1K | $12K | 2.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | VISION SERVICE PLAN | $4K | — | $4K | 1.81% |
| MARC BERT HEINBERG3 | 4293 BEDFORD AVENUE BROOKLYN, NY 11229 | AFLAC | $18K | $986 | $19K | 8.63% |
| ENIDA MICI3 | 353 EAST 82ND STREET APT. 9 NEW YORK, NY 10028 | AFLAC | $8K | $197 | $8K | 3.86% |
| RICHARD PETERSON3 | 14107 20TH AVENUE SUITE 507 WHITESTONE, NY 11357 | AFLAC | $3K | $197 | $3K | 1.24% |
| STEPHEN WHITE3 | 5 EMERALD LANE MONTEBELLO, NY 10901 | AFLAC | $2K | — | $2K | 0.97% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $817 | — | $817 | 0.37% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS ADMIN LLC | 12421 MEREDITH DRIVE URBANDALE, IA 50398 | AFLAC | $639 | — | $639 | 0.29% |
| MICHAEL ALAN KELLER3 | 2563 OCEAN AVENUE BELLMORE, NY 11710 | AFLAC | $345 | — | $345 | 0.16% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $178 | — | $178 | 0.08% |
| BENITO A ROTONDI II INC3 Filed as: BENITO A. ROTONDI II INC. | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $107 | — | $107 | 0.05% |
| KEITH LEPACK3 | 1991 BROADWAY APT. 12B NEW YORK, NY 10023 | AFLAC | $63 | — | $63 | 0.03% |
| ERIC BENNER3 | 21 HARMER TERRACE WAYNE, NJ 07470 | AFLAC | $61 | — | $61 | 0.03% |
| BRIAN ROBERT MCGRATTY3 | 129 37TH STREET APT. 209 UNION CITY, NJ 07087 | AFLAC | $56 | — | $56 | 0.03% |
| GEORGE BLAIR WEILER3 | 64 HILLTOP DRIVE MANHASSET, NY 11030 | AFLAC | $49 | — | $49 | 0.02% |
| PATRICK RUHLE3 Filed as: PATRICK C. HARDIE | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $45 | — | $45 | 0.02% |
| TODD J BURKE CORP3 Filed as: TODD J. BURKE CORP | 40 MAXWELL ROAD GARDEN CITY, NY 11530 | AFLAC | $42 | — | $42 | 0.02% |
| AMERICAN TEL-TEK INC.3 | 2385 WOODHULL AVENUE BRONX, NY 10469 | AFLAC | $31 | — | $31 | 0.01% |
| GINA M. HILLMAN3 | 160 EAST SEARSVILLE ROAD MONTGOMERY, NY 12549 | AFLAC | $26 | — | $26 | 0.01% |
| ALVARO JAVIER MONTENEGRO3 | 14 WALL STREET NEW YORK, NY 10005 | AFLAC | $25 | — | $25 | 0.01% |
| JACK E WILSON3 Filed as: JACK E. WILSON | 320 LUPINE DRIVE KNOXVILLE, TN 37924 | AFLAC | $24 | — | $24 | 0.01% |
| KEITH LEPACK3 | 1991 BROADWAY NEW YORK, NY 10023 | AFLAC | $17 | — | $17 | 0.01% |
| VIRGIL V RICHARDSON3 Filed as: VIRGIL V. RICHARDSON | 200 WEST 143RD STREET APT. 20M NEW YORK, NY 10030 | AFLAC | $16 | — | $16 | 0.01% |
| BRIAN ROBERT MCGRATTY3 | 3312 HUDSOM AVENUE APT. 12A UNION CITY, NJ 07087 | AFLAC | $15 | — | $15 | 0.01% |
| PETER T. MEYLE3 | PO BOX 4152 UNION CITY, NJ 07087 | AFLAC | $14 | — | $14 | 0.01% |
| KATHERINE D GRIMES3 Filed as: KATHERINE D. GRIMES | PO BOX 906 FOLLY BEACH, SC 29439 | AFLAC | $14 | — | $14 | 0.01% |
| CIRO ABRIL3 | 18 BRACKEN COURT HOWELL, NJ 07731 | AFLAC | $11 | — | $11 | 0.01% |
| JENNIFER DELIA3 | 3 BLAUVELT ROAD BLAUVELT, NY 10913 | AFLAC | $10 | — | $10 | 0.00% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK R. SIRACUSA | 225 DOLSON AVENUE SUITE 304 MIDDLETOWN, NY 10940 | AFLAC | $9 | — | $9 | 0.00% |
| GEORGE BLAIR WEILER3 | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $9 | — | $9 | 0.00% |
| MICHAEL S CHILLE3 Filed as: MICHAEL S. CHILLE | 12 ST. THOMAS MORE DRIVE WINCHESTER, MA 01890 | AFLAC | $8 | — | $8 | 0.00% |
| JAMES HOFFMAN3 | 15900 RIVERPOINTE DRIVE CHARLOTTE, NC 28278 | AFLAC | $8 | — | $8 | 0.00% |
| LISA M WYLIE3 Filed as: LISA MARIE WYLIE | 89 LEXINGTON STREET APT. 17 AUBURNDALE, MA 02466 | AFLAC | $8 | — | $8 | 0.00% |
| PERRY E MEDINA3 Filed as: PERRY E. MEDINA | 30 DOROTHY DRIVE MONROE, NY 10950 | AFLAC | $7 | — | $7 | 0.00% |
| RANDI E RIVA3 Filed as: RANDI E. RIVA | 340 WEST PALMETTO PARK ROAD UNIT 504B BOCA RATON, FL 33432 | AFLAC | $6 | — | $6 | 0.00% |
| ALBERT SHUST3 | 200 CENTENNIAL AVENUE SUITE 105 PISCATAWAY, NJ 08854 | AFLAC | $6 | — | $6 | 0.00% |
| AMERICAN TEL-TEK INC.3 | 92 NORTH AVENUE SUITE 102 NEW ROCHELLE, NY 10801 | AFLAC | $5 | — | $5 | 0.00% |
| VIRGIL V RICHARDSON3 Filed as: VIRGIL V. RICHARDSON | 529 WEST 147TH STREET APT. 1B NEW YORK, NY 10031 | AFLAC | $5 | — | $5 | 0.00% |
| GREGORY E MEYER3 Filed as: GREGORY E. MEYER | 5005 BODIE LANE GREENSBORO, NC 27455 | AFLAC | $4 | — | $4 | 0.00% |
| PINA JOY MUNRO3 | 4 ALPINE WAY DIX HILLS, NY 11746 | AFLAC | $3 | — | $3 | 0.00% |
| MELISA SCHOFIELD3 | 11620 NORTH 39TH STREET PHOENIX, CT 85028 | AFLAC | $1 | — | $1 | 0.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY | $8K | $1K | $9K | 11.11% |
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 | 2,491 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,501 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,615 | $624K |
| Vision | VISION SERVICE PLAN | 905 | $226K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 3,987 | $1.9M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 3,987 | $1.9M |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 3,987 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,987 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.