| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENIDA MICI3 | 353 E 82ND STREET APT 9 NEW YORK, NY 10028 | AFLAC | $2K | $33 | $2K | 6.26% |
| ACRISURE LLC3 | 16 W 36TH STREET 11TH FLOOR NEW YORK, NY 10018 | AFLAC | $2K | — | $2K | 5.84% |
| MATTHEW CERULLA3 | 353 E 82ND STREET APT 9 NEW YORK, NC 10026 | AFLAC | $1K | $167 | $1K | 3.07% |
| RICHARD PETERSON3 | 14107 20TH AVENUE SUITE 507 WHITESTONE, NY 11357 | AFLAC | $563 | $33 | $596 | 1.54% |
| STEPHEN WHITE3 Filed as: STEPHEN P WHITE | 5 EMERALD LANE MONTEBELLO, NY 10901 | AFLAC | $317 | — | $317 | 0.82% |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $161 | — | $161 | 0.42% |
| SNEZANA SKENDAJ3 Filed as: SNEZANA SKENDERAJ | 6004 WOODBINE STREET APT 3L RIDGEWOOD, NY 11385 | AFLAC | $149 | — | $149 | 0.39% |
| VIRGIL V RICHARDSON3 | 529 W 147TH STREET APT 1B NEW YORK, NY 10031 | AFLAC | $39 | — | $39 | 0.10% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $37 | — | $37 | 0.10% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $26 | — | $26 | 0.07% |
| TODD J BURKE CORP3 | 2 IRIS LANE GARDEN CITY, NY 11530 | AFLAC | $4 | — | $4 | 0.01% |
| JACK E RAHMEY3 | 1880 EAST 23RD STREET BROOKLYN, NY 11229 | GUARDIAN | $1K | — | $1K | 5.80% |
| ACRISURE LLC3 | 16 WEST 36TH STREET 11TH FLOOR NEW YORK, NY 10018 | GUARDIAN | $1K | — | $1K | 5.80% |
| COMPAIN ANDERSON AZAR LTD3 | 16 WEST 36TH STREET 11 FLOOR NEW YORK, NY 10018 | HARTFORD LIFE AND ACCIDENT INSURANCE | $116 | $15 | $131 | 16.95% |
| ACRISURE LLC3 | 16 W 36TH STREET 11TH FLOOR NEW YORK, NY 10018 | AFLAC | $2K | — | $2K | — |
| ENIDA MICI3 | 353 E 82ND STREET APT 9 NEW YORK, NY 10028 | AFLAC | $2K | $40 | $2K | — |
| MATTHEW CERULLA3 | 353 E 82ND STREET APT 9 NEW YORK, NY 10028 | AFLAC | $1K | $204 | $1K | — |
| RICHARD PETERSON3 | 14107 20TH AVENUE SUITE 507 WHITESTONE, NY 11357 | AFLAC | $665 | $41 | $706 | — |
| STEPHEN WHITE3 Filed as: STEPHEN P WHITE | 5 EMERALD LANE MONTEBELLO, NY 10901 | AFLAC | $122 | — | $122 | — |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER CORPORATION | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $49 | — | $49 | — |
| KEITH LEPACK3 | 1991 BROADWAY NEW YORK, NY 10023 | AFLAC | $38 | — | $38 | — |
| SNEZANA SKENDAJ3 | 6004 WOODBINE STREET APT 3L RIDGEWOOD, NY 11385 | AFLAC | $25 | — | $25 | — |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $12 | — | $12 | — |
| DYMOND INC3 | 562 W END AVENUE APT 4DE NEW YORK, NY 10024 | AFLAC | $11 | — | $11 | — |
| BENITO A ROTONDI II INC3 Filed as: BENITO ROTONDI II INC | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $8 | — | $8 | — |
| TODD J BURKE CORP3 | 2 IRIS LANE GARDEN CITY, NY 11530 | AFLAC | $4 | — | $4 | — |
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 | 136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | GUARDIAN | 133 | $21K |
| Life insurance | GUARDIAN | 133 | $21K |
| Other(4 contracts, 3 carriers) | AFLAC | 171 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 171 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.