| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: DRIVER ALLIANT INSURANCE SERVICES | 701 B ST SAN DIEGO, CA 92101 | AETNA LIFE INSURANCE CO. | $13K | — | $13K | 3.45% |
| CRYSTAL IBC LLC3 | 32 OLD SLIP 18TH FLOOR NEW YORK, NY 10005 | THE PAUL REVERE LIFE INSURANCE COMPANY | $19K | — | $19K | 7.71% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LIMITED | 100 SUNNYSIDE BLVD WOODBURY, NY 11797 | THE PAUL REVERE LIFE INSURANCE COMPANY | $7K | — | $7K | 2.78% |
| DANA SUMMERS3 | 135 BALLSTON DR MOORESVILLE, NC 28117 | THE PAUL REVERE LIFE INSURANCE COMPANY | $5K | — | $5K | 2.02% |
| THOMAS E KIENZLER3 | 359 WASHINGTON RD ENFIELD, CT 06082 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | — | $3K | 1.11% |
| MCO PARTNERS LLC3 | 6 ELM ST MADISON, NJ 07940 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | — | $2K | 0.64% |
| SPEYSIDE CONSULTING GROUP LLC3 | 135 BALLSTON DRIVE MOORESVILLE, NC 28117 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | — | $1K | 0.51% |
| C & L REED ASSOCIATES LLC3 | 2911 GLENARDEN DRIVE CHARLESTON, SC 29414 | THE PAUL REVERE LIFE INSURANCE COMPANY | $254 | — | $254 | 0.10% |
| SOTERIA PARTNERS LLC3 | 1050 WALL STREET WEST LYNDHURST, NJ 07071 | THE PAUL REVERE LIFE INSURANCE COMPANY | $227 | — | $227 | 0.09% |
| MICHAEL ANGELO ARROYO3 | 28 OXFORD PLACE STATEN ISLAND, NY 10301 | THE PAUL REVERE LIFE INSURANCE COMPANY | $225 | — | $225 | 0.09% |
| JAMEL WRIGHT3 | 351 OLD SHORT HILLS ROAD SHORT HILLS, NJ 07078 | THE PAUL REVERE LIFE INSURANCE COMPANY | $179 | — | $179 | 0.07% |
| YOLANDA TRISTANCHO-HELWIG3 | 449 CENTRAL AVE SAINT PETERSBURG, FL 33701 | THE PAUL REVERE LIFE INSURANCE COMPANY | $152 | — | $152 | 0.06% |
| CYNTHIA LERNER RUBIN3 Filed as: CYNTHIA P WHALEN | 123 PINE VALLEY DR MIDDLETOWN, DE 19709 | THE PAUL REVERE LIFE INSURANCE COMPANY | $60 | — | $60 | 0.02% |
| ELIZABETH HERNANDEZ3 | 245 W 72ND STREET NEW YORK, NY 10023 | THE PAUL REVERE LIFE INSURANCE COMPANY | $50 | — | $50 | 0.02% |
| PHYLLIS DUNN3 | 14 NUHFER DR COLUMBIA, CT 06237 | THE PAUL REVERE LIFE INSURANCE COMPANY | $40 | $7 | $47 | 0.02% |
| HEIL BUSINESS SOLUTIONS CORPORATION3 Filed as: HEIL BUSINESS SOLUTIONS CORPORATIN | 2150 49TH STREET N SUITE F ST PETERSBURG, FL 33710 | THE PAUL REVERE LIFE INSURANCE COMPANY | $44 | — | $44 | 0.02% |
| ENROLLMENT SOLUTIONS LTD3 Filed as: ENROLLMENT SOLUTIONS | 65 BURBANK RD SUTTON, MA 01590 | THE PAUL REVERE LIFE INSURANCE COMPANY | $40 | — | $40 | 0.02% |
| BROAD COVERAGE SERVICE INC3 | 6 KASER TERRACE MONSEY, NY 10952 | THE PAUL REVERE LIFE INSURANCE COMPANY | $25 | — | $25 | 0.01% |
| TIMOTHY J REED3 | 21 AZALEA DRIVE LUMBERTON, NJ 08048 | THE PAUL REVERE LIFE INSURANCE COMPANY | $16 | — | $16 | 0.01% |
| DONNA ROSS SMITH3 | 2632 JUDES FERRY RD POWHATAN, VA 23139 | THE PAUL REVERE LIFE INSURANCE COMPANY | $12 | — | $12 | 0.00% |
| FNA INSURANCE SERVICES INC3 | 2003 JERICHO TURNPIKE NEW HYDE PARK, NY 11040 | THE PAUL REVERE LIFE INSURANCE COMPANY | $8 | — | $8 | 0.00% |
| HELEN DIZ-HATTON3 | 4 PALMER LANE ENGLISHTOWN, NJ 07726 | THE PAUL REVERE LIFE INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| CHOICE BENEFITS SOLUTIONS LLC3 | 6441 3RD PALM POINTE ST ST PETERSBURG BEACH, FL 33706 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| DONALD C SAVOY INC3 Filed as: DONALD C SAVOY INC TA SAVOY ASSOCIA | T/A SAVOY ASSOCIATES FLORHAM PARK, NJ 07932 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES, INC | 32 OLD SLIP NEW YORK, NY 10005 | FIRST UNUM LIFE INSURANCE COMPANY | $13K | $1K | $15K | 22.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | 32 OLD SLIP NEW YORK, NY 10005 | FIRST UNUM LIFE INSURANCE COMPANY | $6K | $302 | $6K | 15.15% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES - NY | 101 PARK AVENUE 14TH FLOOR NEW YORK, NY 10178 | EYEMED VISION CARE | $3K | — | $3K | 9.85% |
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 | 538 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 546 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE CO. | 953 | $376K |
| Vision | EYEMED VISION CARE | 435 | $29K |
| Life insurance(2 contracts, 2 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 538 | $289K |
| Short-term disability | THE PAUL REVERE LIFE INSURANCE COMPANY | 194 | $249K |
| Long-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 538 | $40K |
| Other(3 contracts, 2 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 538 | $356K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 953 | — |
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.