| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM JAMES STOPERA3 | 50 BROADWAY SUITE 2 HAWTHORNE, NY 10532 | UNITEDHEALTHCARE INSURANCE COMPANY | $71K | — | $71K | 2.76% |
| ACRISURE LLC3 Filed as: ACRISURE PGM INSURANCE SERVICES, LL | 311 CLOCK TOWER CMNS BREWSTER, NY 10509 | UNITEDHEALTHCARE INSURANCE COMPANY | $26K | — | $26K | 1.00% |
| GA SOLUTIONS LLC3 | 65 MECHANIC STREET SUITE 106 RED BANK, NJ 07701 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $10K | $3K | $12K | 12.89% |
| SOTERIA PARTNERS LLC3 | 4 CENTURY DRIVE PARSIPPANY, NJ 07054 | THE PAUL REVERE LIFE INSURANCE COMPANY | $995 | $157 | $1K | 3.12% |
| ACRISURE LLC3 Filed as: ACRISURE PGM INSURANCE SERVICES | 311 CLOCK TOWER COMMONS BREWSTER, NY 19106 | THE PAUL REVERE LIFE INSURANCE COMPANY | $482 | — | $482 | 1.30% |
| WORKSITE WHEELHOUSE3 Filed as: WORKSITE WHEELEHOUSE | 103-107 CHURCH STREET APARTMENT 3 PHILADELPHIA, PA 19106 | THE PAUL REVERE LIFE INSURANCE COMPANY | $482 | — | $482 | 1.30% |
| MICHAEL FRANCIS3 | 686 EAST 234TH STREET UNITE A3 BRONX, NY 10466 | THE PAUL REVERE LIFE INSURANCE COMPANY | $284 | $78 | $362 | 0.98% |
| MICHAEL FRANCIS3 | 686 EAST 234TH STREET UNIT A3 BRONX, NY 10466 | THE PAUL REVERE LIFE INSURANCE COMPANY | $284 | $78 | $362 | 0.98% |
| JASON SCZEPANIAK3 Filed as: JASON C SHAPIRO | 41 BRENTON STREET LITCHFIELD, NH 03052 | THE PAUL REVERE LIFE INSURANCE COMPANY | $141 | — | $141 | 0.38% |
| RODOVALDO RODRIGUEZ3 | 6606 GRANTON AVENUE UNIT A-6 LITTLE FERRY, NJ 07643 | THE PAUL REVERE LIFE INSURANCE COMPANY | $103 | — | $103 | 0.28% |
| ALEXANDRA LLANO3 | 9 ALFRED PLACE LITTLE FERRY, NJ 07643 | THE PAUL REVERE LIFE INSURANCE COMPANY | $96 | — | $96 | 0.26% |
| ABRAHAM OYEWO3 | 1039 EAST 227 STREET BROX, NY 10466 | THE PAUL REVERE LIFE INSURANCE COMPANY | $87 | — | $87 | 0.24% |
| ENROLLEASE3 Filed as: JACQUELINE E FORBES-CLARKE | 27 HUDSON AVENUE MT VERNON, NY 10553 | THE PAUL REVERE LIFE INSURANCE COMPANY | $17 | — | $17 | 0.05% |
| ACRISURE LLC3 Filed as: ACRISURE PGM INSURANCE SERVICES | 311 CLOCK TOWER COMMONS BREWSTER, NY 10509 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $786 | — | $786 | 15.10% |
| SOTERIA PARTNERS LLC3 | 4 CENTURY DRIVE PARSIPPANY, NJ 07054 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $153 | $145 | $298 | 5.73% |
| WORKSITE WHEELHOUSE3 | 103-107 CHURCH STREET APARTMENT 3 PHILADELPHIA, PA 19106 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $69 | $43 | $112 | 2.15% |
| ALEXANDRA LLANO3 | 9 ALFRED PLACE LITTLE FERRY, NJ 07643 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $42 | — | $42 | 0.81% |
| JASON SCZEPANIAK3 Filed as: JASON C SHAPIRO | 41 BRENTON STREET LITCHFIELD, NH 03052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $3 | $16 | 0.31% |
| RODOVALDO RODRIGUEZ3 | 6606 GRANTON AVENUE NORTH BERGEN, NV 07047 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.31% |
| ACRISURE LLC3 Filed as: ACRISURE PGM INSURANCE SERVICES | 311 CLOCK TOWER COMMONS BREWSTER, NY 10509 | THE PAUL REVERE LIFE INSURANCE COMPANY | $386 | — | $386 | 13.97% |
| SOTERIA PARTNERS LLC3 | 4 CENTURY DRIVE PARSIPPANY, NJ 07054 | THE PAUL REVERE LIFE INSURANCE COMPANY | $87 | $15 | $102 | 3.69% |
| WORKSITE WHEELHOUSE3 | 103-107 CHURCH STREET PHILADELPHIA, PA 19106 | THE PAUL REVERE LIFE INSURANCE COMPANY | $40 | — | $40 | 1.45% |
| RODOVALDO RODRIGUEZ3 | 6606 GRANTON AVENUE UNIT A-6 NORTH BERGEN, NJ 07047 | THE PAUL REVERE LIFE INSURANCE COMPANY | $39 | — | $39 | 1.41% |
| ALEXANDRA LLANO3 | 9 ALFRED PLACE LITTLE FERRY, NJ 07643 | THE PAUL REVERE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.22% |
| ACRISURE LLC3 Filed as: ACRISURE PGM INSURANCE SERVICES | 311 CLOCK TOWER COMMONS BREWSTER, NY 10509 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $107 | — | $107 | 14.12% |
| SOTERIA PARTNERS LLC3 | 4 CENTURY DRIVE PARSIPPANY, NJ 07054 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | $21 | $44 | 5.80% |
| WORKSITE WHEELHOUSE3 | 103-107 CHURCH STREET APARTMENT 3 PHILADELPHIA, PA 19106 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | $6 | $17 | 2.24% |
| ALEXANDRA LLANO3 | 9 ALFRED PLACE LITTLE FERRY, NJ 07643 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 1.06% |
| RODOVALDO RODRIGUEZ3 | 6606 GRANTON AVENUE UNITE A-6 NORTH BERGEN, NJ 10509 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.53% |
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 | 225 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 225 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 235 | $2.6M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 225 | $95K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 225 | $95K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 225 | $95K |
| Short-term disability(3 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 6 | $9K |
| Other(5 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 225 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 235 | — |
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.