| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: DRIVER ALLIANT INSURANCE SERVICE | 320 WEST 57TH STREET NEW YORK, NY 10019 | AETNA LIFE INSURANCE CO. | $202K | — | $202K | 5.47% |
| 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 | 2.52% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PEARCE PLAZA - 14TH FLOOR ITASCA, IL 60143 | AETNA LIFE INSURANCE CO. | $15K | $8K | $23K | 9.48% |
| CORPORATE COMPENSATION PLANS OF CT3 | 93 PINE HILL ROAD NEW FAIRFIELD, CT 06812 | PROVIDENT LIFE & CASULTY INSURANCE COMPANY | $8K | — | $8K | 5.94% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 1750 H STREET NW, STE 200 WASHINGTON, DC 20006 | PROVIDENT LIFE & CASULTY INSURANCE COMPANY | $2K | — | $2K | 1.56% |
| DAVIS, PHILIP, TOWNSEND3 | 457 MAIN STREET - STE. 2C DANBURY, CT 06811 | PROVIDENT LIFE & CASULTY INSURANCE COMPANY | — | $840 | $840 | 0.63% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES INC. | 190 RIVER ROAD SUMMIT, NJ 07902 | PROVIDENT LIFE & CASULTY INSURANCE COMPANY | $379 | — | $379 | 0.28% |
| YANIRA TEITELBAUM3 | 76 WATERMAN AVENUE RUMSON, NJ 07760 | AFLAC | $3K | $56 | $3K | 3.96% |
| MICHAEL S TEITELBAUM3 Filed as: MICHAEL TEITELBAUM | 76 WATERMAN AVENUE RUMSON, NJ 07760 | AFLAC | $2K | — | $2K | 2.52% |
| KIM HAMMOND3 | 1 BANK STREET, APT. 5L NEW YORK, NY 10014 | AFLAC | $1K | $129 | $1K | 1.59% |
| ANTHONY ORGERA3 | 14 WALL STREET, STE. 8C NEW YORK, NY 10005 | AFLAC | $1K | $37 | $1K | 1.58% |
| JACQUELINE CASTRO3 | 100 WALL STREET, FL. 28 NEW YORK, NY 10005 | AFLAC | $934 | — | $934 | 1.26% |
| KENNETH MEIER3 | 401 FRANKLIN AVENUE, STE. 312 GARDEN CITY, NY 11530 | AFLAC | $626 | — | $626 | 0.85% |
| TREVOR FENNELL3 | 11835 QUEENS BLVD., STE. 1403 FOREST HILLS, NY 11375 | AFLAC | $475 | — | $475 | 0.64% |
| ANTHONY LIBECCI3 | 205 OLD TOWN ROAD STATEN ISLAND, NY 10305 | AFLAC | $280 | $11 | $291 | 0.39% |
| ALY H ABAZA3 Filed as: ALY ABAZA | 79 VINEYARD LANE GREENWICH, CT 06831 | AFLAC | $259 | — | $259 | 0.35% |
| KWAN CHAE3 | 395 SOUTH END AVENUE, APT. 8J NEW YORK, NY 10280 | AFLAC | $200 | — | $200 | 0.27% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: KEVIN GALLAGHER | 173 GELSTON AVENUE, APT. 3D BROOKLYN, NY 11209 | AFLAC | $195 | — | $195 | 0.26% |
| SPHEREC GROUP LLC3 | 14 WALL STREET, STE. 8C NEW YORK, NY 10005 | AFLAC | $131 | $26 | $157 | 0.21% |
| JOSEPH M GONZALEZ3 Filed as: JOSEPH GONZALEZ | 1502 RICHMOND AVENUE, 2ND FLOOR STATEN ISLAND, NY 10314 | AFLAC | $125 | — | $125 | 0.17% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $106 | — | $106 | 0.14% |
| BENITO A ROTONDI II INC3 Filed as: BENITO ROTUNDI II | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $59 | — | $59 | 0.08% |
| DOUGLAS MEIER3 | 23 ROCKLEDGE TERRACE POMPTON PLAINS, NJ 07444 | AFLAC | $56 | — | $56 | 0.08% |
| JIM KOKKORIS3 | 2356 28TH STREET ASTORIA, NY 11105 | AFLAC | $56 | — | $56 | 0.08% |
| JANELLE M GADOMSKI3 Filed as: JANELLE GADOMSKI | 166 MIDLAND AVENUE YONKERS, NY 10705 | AFLAC | $47 | — | $47 | 0.06% |
| CHRISTY DAY ASSOCIATES LLC3 | 14 WALL STREET, STE. 8C NEW YORK, NY 10005 | AFLAC | $40 | — | $40 | 0.05% |
| PATRICK RUHLE3 Filed as: PATRICK HARDIE | 14 WALL STREET, STE. 8C NEW YORK, NY 10005 | AFLAC | $27 | — | $27 | 0.04% |
| CIRO ABRIL3 | 18 BRACKEN COURT HOWELL, NJ 07731 | AFLAC | $16 | — | $16 | 0.02% |
| TODD J BURKE CORP3 Filed as: TODD J. BURKE CORP. | 2 IRIS LANE GARDEN CITY, NY 11530 | AFLAC | $15 | — | $15 | 0.02% |
| THE MEYER AGENCY LTD3 Filed as: THE MEYER AGENCY LTD. | PO BOX 112829 NAPLES, FL 34108 | AFLAC | $4 | — | $4 | 0.01% |
| DENNIS T. FENNELL3 Filed as: DENNIS FENNEL | 8 BELVOIR DRIVE WASHINGTONVILLE, NY 10992 | AFLAC | $3 | — | $3 | 0.00% |
| PHILIP T DAVIS3 Filed as: PHILIP T. DAVIS | 457 MAIN STREET - STE. 2C DANBURY, CT 06811 | FIRST UNUM LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 190 RIVER RD SUMMIT, NJ 07902 | FIRST UNUM LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| CORPORATE COMPENSATION PLANS OF CT3 | 93 PINE HILL ROAD NEW FAIRFIELD, CT 06812 | PROVIDENT LIFE & CASUALTY INSURANCE COMPANY | $2K | — | $2K | 6.38% |
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | 1750 H STREET NW, STE 200 WASHINGTON, DC 20006 | PROVIDENT LIFE & CASUALTY INSURANCE COMPANY | $656 | — | $656 | 1.95% |
| WELLS FARGO INSURANCE SERVICES Filed as: WELLS FARGO INSURANCE SERVICES INC. | 190 RIVER RD SUMMIT, NJ 07902 | PROVIDENT LIFE & CASUALTY INSURANCE COMPANY | $515 | — | $515 | 1.53% |
| DAVIS, PHILIP, TOWNSEND3 | 457 MAIN STREET - STE. 2C DANBURY, CT 06811 | PROVIDENT LIFE & CASUALTY INSURANCE COMPANY | — | $305 | $305 | 0.91% |
| PHILIP T DAVIS3 Filed as: PHILIP T. DAVIS | 457 MAIN STREET - STE. 2C DANBURY, CT 06811 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | 190 RIVER ROAD, 1ST FL. SUMMIT, NJ 07901 | FEDERAL INSURANCE COMPANY | $1K | — | $1K | 14.69% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR J. GALLAGHER & CO. | 250 PARK AVENUE, 3RD FLOOR NEW YORK, NY 10177 | EYE MED | $744 | — | $744 | 9.14% |
| KIM HAMMOND3 | 1 BANK STREET, APT. 5L NEW YORK, NY 10014 | AFLAC | $120 | $29 | $149 | 4.31% |
| YANIRA TEITELBAUM3 | 76 WATERMAN AVENUE RUMSON, NJ 07760 | AFLAC | $70 | — | $70 | 2.02% |
| ANTHONY ORGERA3 | 14 WALL STREET, STE. 8C NEW YORK, NY 10005 | AFLAC | $58 | $6 | $64 | 1.85% |
| MICHAEL S TEITELBAUM Filed as: MICHAEL TEITELBAUM | 76 WATERMAN AVENUE RUMSON, NJ 07760 | AFLAC | $49 | — | $49 | 1.42% |
| KENNETH MEIER3 | 401 FRANKLIN AVENUE, STE. 312 GARDEN CITY, NY 11530 | AFLAC | $34 | — | $34 | 0.98% |
| CHARLES J MULE3 Filed as: CHARLES MULE | 147 UNION STREET BROOKLYN, NY 11231 | AFLAC | $29 | — | $29 | 0.84% |
| ROBERT TABAN DONATO3 Filed as: ROBERT DONATO | 14 WALL STREET, STE. 8C NEW YORK, NY 10005 | AFLAC | $12 | $6 | $18 | 0.52% |
| ALY H ABAZA3 Filed as: ALY ABAZA | 79 VINEYARD LANE GREENWICH, CT 06831 | AFLAC | $13 | — | $13 | 0.38% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: CAVAZOS RISK MANAGEMENT LLC | 11551 NUCKOLS ROAD, STE. P GLEN ALLEN, VA 23059 | AFLAC | $11 | — | $11 | 0.32% |
| KWAN CHAE3 | 395 SOUTH END AVENUE, APT. 8J NEW YORK, NY 10280 | AFLAC | $10 | — | $10 | 0.29% |
| JACQUELINE CASTRO3 | 100 WALL STREET, FL. 28 NEW YORK, NY 10005 | AFLAC | $6 | — | $6 | 0.17% |
| TREVOR FENNELL3 | 11835 QUEENS BLVD., STE. 1403 FOREST HILLS, NY 11375 | AFLAC | $6 | — | $6 | 0.17% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $4 | — | $4 | 0.12% |
| BENITO A ROTONDI II INC3 Filed as: BENITO ROTUNDI II | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $4 | — | $4 | 0.12% |
| AMY K FOY3 Filed as: AMY FOY | 804 MCCOY ROAD FRANKLIN LAKES, NJ 07417 | AFLAC | $1 | — | $1 | 0.03% |
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 | 342 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 342 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 129 | $3.7M |
| Dental | AETNA LIFE INSURANCE CO. | 342 | $243K |
| Vision | EYE MED | 111 | $8K |
| Life insurance | AETNA LIFE INSURANCE CO. | 342 | $243K |
| Short-term disability(3 contracts, 3 carriers) | PROVIDENT LIFE & CASULTY INSURANCE COMPANY | 181 | $179K |
| Long-term disability | FIRST UNUM LIFE INSURANCE CO. | 120 | $264K |
| Other(4 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 342 | $368K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 342 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.