| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE CAMPS GROUP LLC3 Filed as: CAMPS GROUP LLC | 122 EAST 42ND STREET, SUITE 1903 NEW YORK, NY 10168 | AETNA LIFE INSURANCE CO. | $50K | $20K | $70K | 6.36% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PEARCE PLAZA - 14TH FLOOR ITASCA, IL 60143 | AETNA LIFE INSURANCE CO. | $8K | $2K | $11K | 0.98% |
| CORPORATE COMPENSATION PLANS OF CT3 Filed as: CORPORATE COMPENSATION PLANS | 93 PINE HILL ROAD NEW FAIRFIELD, CT 06812 | FIRST UNUM LIFE INSURANCE CO. | $7K | — | $7K | 2.14% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 250 PARK AVENUE - 3RD FLOOR NEW YORK, NY 10177 | PRUDENTIAL INSURANCE CO. OF AMERICA | $5K | — | $5K | 1.91% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 400 MIDLAND DRIVE, STE 300 MOUNT LAUREL, NJ 08054 | PRUDENTIAL INSURANCE CO. OF AMERICA | $1K | — | $1K | 0.51% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVE - STE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE CO. OF AMERICA | — | $101 | $101 | 0.04% |
| YANIRA TEITELBAUM3 | 76 WATERMAN AVENUE RUMSON, NJ 07760 | AFLAC | $4K | $487 | $4K | 4.39% |
| JACQUELINE CASTRO3 Filed as: JACQUELINE S CASTRO LLC | 401 FRANKLIN AVE, STE 312 GARDEN CITY, NY 11530 | AFLAC | $3K | $702 | $4K | 3.81% |
| MICHAEL SCOTT TEITELBAUM3 | 76 WATERMAN AVENUE RUMSON, NJ 07760 | AFLAC | $2K | — | $2K | 2.38% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R. ORGERA, INC. | 14 WALL STREET, STE 8C NEW YORK, NY 10005 | AFLAC | $2K | $230 | $2K | 1.91% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER CORP. | 401 FRANKLIN AVE. - STE. 312 GARDEN CITY, NY 11530 | AFLAC | $1K | $246 | $1K | 1.45% |
| TREVOR FENNELL3 | 11835 QUEENS BLVD, STE 1403 FOREST HILLS, NY 11375 | AFLAC | $1K | $246 | $1K | 1.36% |
| KIM HAMMOND3 | 1 BANK STREET, APT 5L NEW YORK, NY 10014 | AFLAC | $508 | — | $508 | 0.54% |
| ALY H ABAZA3 Filed as: ALY H. ABAZA | 79 VINEYARD LANE GREENWICH, CT 06831 | AFLAC | $330 | — | $330 | 0.35% |
| KWAN CHAE3 | 395 SOUTH END AVENUE - #8J NEW YORK, NY 10280 | AFLAC | $249 | — | $249 | 0.27% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: KEVIN G. GALLAGHER | 173 GELSTON AVE, APT 3D BROOKLYN, NY 11209 | AFLAC | $230 | — | $230 | 0.25% |
| JOSEPH M GONZALEZ3 Filed as: JOSEPH M. GONZALEZ | 1502 RICHMOND AVENUE STATEN ISLAND, NY 10314 | AFLAC | $155 | — | $155 | 0.17% |
| JANELLE M GADOMSKI3 Filed as: JANELLE M. GADOMSKI | 166 MIDLAND AVE YONKERS, NY 10705 | AFLAC | $113 | $40 | $153 | 0.16% |
| DOUGLAS MEIER3 Filed as: DOUGLAS R. MEIER | 23 ROCKLEDGE TERRACE POMPTON PLAINS, NJ 07444 | AFLAC | $56 | — | $56 | 0.06% |
| JIM KOKKORIS3 | 23-56 28TH STREET ASTORIA, NY 11105 | AFLAC | $56 | — | $56 | 0.06% |
| TIMOTHY C CAVAZOS3 | 401 FRANKLIN AVE, STE 312 GARDEN CITY, NY 11530 | AFLAC | $55 | — | $55 | 0.06% |
| PATRICK RUHLE3 Filed as: PATRICK C HARDIE | 14 WALL STREET, STE 8C NEW YORK, NY 10005 | AFLAC | $34 | $8 | $42 | 0.04% |
| CHRISTY DAY ASSOCIATES LLC3 | 14 WALL STREET, STE 8C NEW YORK, NY 10005 | AFLAC | $40 | — | $40 | 0.04% |
| DENNIS FENNELL3 | 8 BELVOIR DRIVE WASHINGTONVILLE, NY 10992 | AFLAC | $25 | $8 | $33 | 0.04% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAGUA, NY 10514 | AFLAC | $30 | — | $30 | 0.03% |
| CHARLES J MULE3 Filed as: CHARLES J. MULE | 147 UNION STREET BROOKLYN, NY 11231 | AFLAC | $25 | — | $25 | 0.03% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY A LIBECCI | 35 PRESTON AVE STATEN ISLAND, NY 10312 | AFLAC | $24 | — | $24 | 0.03% |
| SPHERIC GROUP LLC3 | 14 WALL STREET, STE 8C NEW YORK, NY 10005 | AFLAC | $22 | — | $22 | 0.02% |
| CIRO ABRIL3 | 18 BRACKEN COURT HOWELL, NJ 07731 | AFLAC | $16 | — | $16 | 0.02% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES INC. | 190 RIVER ROAD SUMMIT, NJ 07902 | FIRST UNUM LIFE INSURANCE COMPANY | $4K | $161 | $4K | 8.89% |
| PHILIP T DAVIS3 Filed as: PHILIP T. DAVIS | 457 MAIN STREET - STE. 2C DANBURY, CT 06811 | FIRST UNUM LIFE INSURANCE COMPANY | — | $4K | $4K | 8.57% |
| PHILIP T DAVIS3 Filed as: PHILIP T. DAVIS | 457 MAIN STREET - STE. 2C DANBURY, CT 06811 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | — | $2K | 12.51% |
| HUDSON VALLEY AGENCY3 Filed as: HUDSON VALLEY AGENCY ALLIANCE LLC | 800 WESTCHESTER AVE RYE BROOK, NY 10573 | FEDERAL INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| KIM HAMMOND3 | 1 BANK STREET - APT 5L NEW YORK, NY 10014 | AFLAC | $409 | $34 | $443 | 10.31% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R. ORGERA | 14 WALL STREET - 8C NEW YORK, NY 10005 | AFLAC | $168 | $20 | $188 | 4.38% |
| YANIRA TEITELBAUM3 | 76 WATERMAN AVENUE RUMSON, NJ 07760 | AFLAC | $139 | $26 | $165 | 3.84% |
| JACQUELINE CASTRO3 Filed as: JACQUELINE S CASTRO | 401 FRANKLIN AVE - STE 312 GARDEN CITY, NY 11530 | AFLAC | $111 | $38 | $149 | 3.47% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER | 401 FRANKLIN AVE - STE 312 GARDEN CITY, NY 11530 | AFLAC | $74 | $20 | $94 | 2.19% |
| TIMOTHY CAVAZOS3 | 3 BRADLEY COURT - #1S MINEOLA, NY 11501 | AFLAC | $68 | $7 | $75 | 1.75% |
| MICHAEL SCOTT TEITELBAUM3 | 76 WATERMAN AVENUE RUMSON, NJ 07760 | AFLAC | $51 | — | $51 | 1.19% |
| TREVOR FENNELL3 Filed as: TREVOR R FENNELL | 11835 QUEENS BLVD - STE 1403 FOREST HILLS, NY 11375 | AFLAC | $36 | $13 | $49 | 1.14% |
| CHARLES J MULE3 Filed as: CHARLES J. MULE | 147 UNION STREET BROOKLYN, NY 11231 | AFLAC | $29 | — | $29 | 0.68% |
| ALY H ABAZA3 | 79 VINEYARD LANE GREENWICH, CT 06831 | AFLAC | $14 | — | $14 | 0.33% |
| KWAN CHAE3 Filed as: KWAN S CHAE | 395 SOUTH END AVENUE - #8J NEW YORK, NY 10280 | AFLAC | $10 | — | $10 | 0.23% |
| THE CAMPS GROUP LLC3 Filed as: CAMPS GROUP LLC | 122 EAST 42ND STREET - SUITE 1903 NEW YORK, NY 10168 | AETNA LIFE INSURANCE CO. | — | — | $0 | — |
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 | 368 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 368 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | AETNA LIFE INSURANCE CO. | 368 | $1.1M |
| Dental | AETNA LIFE INSURANCE CO. | 368 | $1.1M |
| Life insurance | PRUDENTIAL INSURANCE CO. OF AMERICA | 282 | $284K |
| Short-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 185 | $14K |
| Long-term disability | FIRST UNUM LIFE INSURANCE CO. | 163 | $307K |
| Other(5 contracts, 4 carriers) | PRUDENTIAL INSURANCE CO. OF AMERICA | 282 | $441K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 368 | — |
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.