| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENIDA MICI3 | 353 E 82ND STREET APT 9 NEW YORK, NY 10028 | AFLAC | $2K | $94 | $2K | 5.61% |
| ACRISURE LLC3 | 16 W 36TH STREET 11TH FLOOR NEW YORK, NY 10018 | AFLAC | $1K | — | $1K | 4.12% |
| MATTHEW CERULLA3 | 353 E 82ND STREET APT 9 NEW YORK, NC 10026 | AFLAC | $365 | $135 | $500 | 1.37% |
| STEPHEN WHITE3 Filed as: STEPHEN P WHITE | 5 EMERALD LANE MONTEBELLO, NY 10901 | AFLAC | $368 | — | $368 | 1.01% |
| RICHARD PETERSON3 | 14107 20TH AVENUE SUITE 507 WHITESTONE, NY 11357 | AFLAC | $324 | $38 | $362 | 0.99% |
| KENNETH C MEIER CORP3 | 19 MARKWOOD ROAD GARDEN CITY, NY 11530 | AFLAC | $188 | — | $188 | 0.52% |
| SNEZANA SKENDAJ3 Filed as: SNEZANA SKENDERAJ | 6004 WOODBINE STREET APT 3L RIDGEWOOD, NY 11385 | AFLAC | $168 | — | $168 | 0.46% |
| STACEY ANNE ODGERS3 | 4078 S NEWTOWN STREET ROAD NEWTOWN SQUARE, PA 19073 | AFLAC | $90 | — | $90 | 0.25% |
| VIRGIL V RICHARDSON3 | 200 W 143RD STREET APT 20M NEW YORK, NY 10030 | AFLAC | $46 | — | $46 | 0.13% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $41 | — | $41 | 0.11% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $28 | — | $28 | 0.08% |
| ANGELA MONTENEGRO3 | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $26 | — | $26 | 0.07% |
| DOUGLAS MEIER3 | 23 ROCKLEDGE TERRACE POMPTON PLAINS, NJ 07444 | AFLAC | $17 | — | $17 | 0.05% |
| TODD J BURKE CORP3 | 2 IRIS LANE GARDEN CITY, NY 11530 | AFLAC | $5 | — | $5 | 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% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DRIVE CALEDONIA, MI 49319 | HARTFORD LIFE AND ACCIDENT INSURANCE | $116 | — | $116 | 15.01% |
| ENIDA MICI3 | 353 E 82ND STREET APT 9 NEW YORK, NY 10028 | AFLAC | $1K | $194 | $2K | — |
| ACRISURE LLC3 | 16 W 36TH STREET 11TH FLOOR NEW YORK, NY 10018 | AFLAC | $1K | — | $1K | — |
| MATTHEW CERULLA3 | 353 E 82ND STREET APT 9 NEW YORK, NY 10028 | AFLAC | $454 | $127 | $581 | — |
| RICHARD PETERSON3 | 14107 20TH AVENUE SUITE 507 WHITESTONE, NY 11357 | AFLAC | $359 | $54 | $413 | — |
| STACEY ANNE ODGERS3 | 407B S NEWTOWN STREET ROAD NEWTOWN SQUARE, PA 19073 | AFLAC | $358 | — | $358 | — |
| ANGELA MONTENEGRO3 | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $213 | — | $213 | — |
| DOUGLAS MEIER3 Filed as: DOUGLAS R MEIER | 23 ROCKLEDGE TERRACE POMPTON PLAINS, NJ 07444 | AFLAC | $137 | — | $137 | — |
| STEPHEN WHITE3 Filed as: STEPHEN P WHITE | 5 EMERALD LANE MONTEBELLO, NY 10901 | AFLAC | $84 | — | $84 | — |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER CORPORATION | 19 MARKWOOD ROAD GARDEN CITY, NY 11530 | AFLAC | $37 | — | $37 | — |
| SNEZANA SKENDAJ3 | 6004 WOODBINE STREET APT 3L RIDGEWOOD, NY 11385 | AFLAC | $26 | — | $26 | — |
| DYMOND INC3 | 562 W END AVENUE APT 4DE NEW YORK, NY 10024 | AFLAC | $12 | — | $12 | — |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $8 | — | $8 | — |
| BENITO A ROTONDI II INC3 Filed as: BENITO ROTONDI II INC | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $7 | — | $7 | — |
| KEITH LEPACK3 | 1991 BROADWAY APT 128 NEW YORK, NY 10023 | AFLAC | $1 | — | $1 | — |
| TODD J BURKE CORP3 | 40 MAXWELL ROAD GARDEN CITY, NY 11530 | AFLAC | $1 | — | $1 | — |
| TODD J BURKE CORP3 Filed as: TODD J BURKE CORPORATION | 40 MAXWELL ROAD GARDEN CITY, NY 11530 | AFLAC | $1 | — | $1 | — |
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 | 122 | 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) | 122 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | GUARDIAN | 121 | $21K |
| Life insurance | GUARDIAN | 121 | $21K |
| Other(4 contracts, 3 carriers) | AFLAC | 122 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 122 | — |
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.