| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 250 PARK AVENUE, 3RD FLOOR NEW YORK, NY 10177 | AETNA LIFE INSURANCE COMPANY | $66K | $11K | $77K | 3.25% |
| EMPLOYEE BENEFIT SOLUTIONS INC3 Filed as: EMPLOYEE BENEFIT SOLUTIONS, INC. | 245 MAIN STREET, SUITE 605 WHITE PLAINS, NY 10601 | AETNA LIFE INSURANCE COMPANY | $22K | — | $22K | 0.93% |
| GALLAGHER BENEFIT SERVICES, INC.3 | UNKNOWN WARREN, NJ 08540 | AETNA LIFE INSURANCE COMPANY | — | $115 | $115 | 0.00% |
| COLANGELO GROUP, INC.3 | 140 OVERLOOK ROAD NEW ROCHELLE, NY 10804 | MUTUAL OF OMAHA INSURANCE COMPANY | $10K | — | $10K | 10.00% |
| KENNETH REY VIOLA3 | 14 WALL STREET, SUITE 8C NEW YORK, NY 10005 | AFLAC | $5K | $41 | $5K | 7.43% |
| DOUGLAS MEIER3 Filed as: DOUGLAS R. MEIER | 23 ROCKLEDGE TERRACE POMPTON PLAINS, NJ 07444 | AFLAC | $2K | $15 | $2K | 3.62% |
| MJ INSURANCE3 Filed as: CIRO ABRIL AND VARIOUS AGENTS | 18 BRACKEN COURT HOWELL, NJ 07731 | AFLAC | $1K | $17 | $2K | 2.27% |
| TODD J BURKE CORP3 Filed as: TODD J. BURKE CORPORATION | 2 IRIS LANE GARDEN CITY, NY 11530 | AFLAC | $916 | $15 | $931 | 1.41% |
| MAURICE LYONS3 | 301 MADISON AVENUE, 4TH FLOOR NEW YORK, NY 10017 | AFLAC | $834 | — | $834 | 1.26% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER CORP. | 401 FRANKLIN AVENUE, SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $539 | $15 | $554 | 0.84% |
| FRANK R GASTELUM3 Filed as: FRANK R. GASTELUM | 7124 19TH AVENUE, 2ND FLOOR BROOKLYN, NY 11204 | AFLAC | $398 | — | $398 | 0.60% |
| COLANGELO GROUP, INC.3 | 140 OVERLOOK ROAD NEW ROCHELLE, NY 10804 | COMPANION LIFE INSURANCE COMPANY | $7K | — | $7K | 10.00% |
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 | 388 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 392 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 311 | $2.4M |
| Dental | AETNA LIFE INSURANCE COMPANY | 311 | $2.4M |
| Vision | AFLAC | 95 | $66K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 192 | $132K |
| Short-term disability | AFLAC | 95 | $66K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 112 | $95K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 311 | $2.4M |
| Other | AFLAC | 95 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 311 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.