| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENIDA MICI3 | 353 E 82ND STREET APT 9 NEW YORK, NY 10028 | AFLAC | $1K | $5 | $1K | 4.41% |
| ACRISURE LLC3 | 16 W 36TH STREET 11TH FLOOR NEW YORK, NY 10018 | AFLAC | $1K | — | $1K | 3.45% |
| STEPHEN WHITE3 Filed as: STEPHEN P WHITE | 5 EMERALD LANE MONTEBELLO, NY 10901 | AFLAC | $305 | — | $305 | 0.94% |
| MATTHEW CERULLA3 | 353 E 82ND STREET APT 9 NEW YORK, NC 10026 | AFLAC | $241 | $23 | $264 | 0.82% |
| RICHARD PETERSON3 | 19 IDLE DAY DRIVE CENTERPORT, NY 11721 | AFLAC | $213 | $4 | $217 | 0.67% |
| KENNETH C MEIER CORP3 | 19 MARKWOOD ROAD GARDEN CITY, NY 11530 | AFLAC | $156 | — | $156 | 0.48% |
| SNEZANA SKENDAJ3 Filed as: SNEZANA SKENDERAJ | 6004 WOODBINE STREET APT 3L RIDGEWOOD, NY 11385 | AFLAC | $137 | — | $137 | 0.42% |
| VIRGIL V RICHARDSON3 Filed as: VIRGIL RICHARDSON | 200 W 143RD STREET APT 20M NEW YORK, NY 10030 | AFLAC | $39 | — | $39 | 0.12% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $30 | — | $30 | 0.09% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $20 | — | $20 | 0.06% |
| TODD J BURKE CORP3 | 40 MAXWELL ROAD GARDEN CITY, NY 11530 | AFLAC | $4 | — | $4 | 0.01% |
| JACK E RAHMEY3 | 1880 EAST 23RD STREET BROOKLYN, NY 11229 | GUARDIAN | $2K | — | $2K | 5.77% |
| ACRISURE LLC3 | 16 WEST 36TH STREET 11TH FLOOR NEW YORK, NY 10018 | GUARDIAN | $2K | — | $2K | 5.77% |
| ENIDA MICI3 | 353 E 82ND STREET APT 9 NEW YORK, NY 10028 | AFLAC | $976 | $54 | $1K | 4.95% |
| ACRISURE LLC3 | 16 W 36TH STREET 11TH FLOOR NEW YORK, NY 10018 | AFLAC | $557 | — | $557 | 2.67% |
| RICHARD PETERSON3 | 19 IDLE DAY DRIVE CENTERPORT, NY 11721 | AFLAC | $211 | $19 | $230 | 1.10% |
| MATTHEW CERULLA3 | 353 E 82ND STREET APT 9 NEW YORK, NY 10028 | AFLAC | $124 | $61 | $185 | 0.89% |
| ANGELA MONTENEGRO3 | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $81 | $17 | $98 | 0.47% |
| STEPHEN WHITE3 | 5 EMERALD LANE MONTEBELLO, NY 10901 | AFLAC | $80 | — | $80 | 0.38% |
| DOUGLAS MEIER3 Filed as: DOUGLAS R MEIER | 23 ROCKLEDGE TERRACE POMPTON PLAINS, NJ 07444 | AFLAC | $40 | $16 | $56 | 0.27% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER CORPORATION | 19 MARKWOOD ROAD GARDEN CITY, NY 11530 | AFLAC | $35 | — | $35 | 0.17% |
| SNEZANA SKENDAJ3 | 6004 WOODBINE STREET APT 3L RIDGEWOOD, NY 11385 | AFLAC | $26 | — | $26 | 0.12% |
| DYMOND INC3 | 562 W END AVENUE APT 4DE NEW YORK, NY 10024 | AFLAC | $12 | — | $12 | 0.06% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $6 | — | $6 | 0.03% |
| BENITO A ROTONDI II INC3 Filed as: BENITO ROTONDI II INC | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $5 | — | $5 | 0.02% |
| TODD J BURKE CORP3 | 40 MAXWELL ROAD GARDEN CITY, NY 11530 | AFLAC | $1 | — | $1 | 0.00% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DRIVE CALEDONIA, MI 49319 | HARTFORD LIFE AND ACCIDENT INSURANCE | $116 | — | $116 | 15.01% |
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 | 172 | 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) | 172 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | GUARDIAN | 172 | $26K |
| Life insurance | GUARDIAN | 172 | $26K |
| Other(4 contracts, 3 carriers) | AFLAC | 172 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 172 | — |
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.