| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 101 PARK AVENUE, 14TH FLOOR NEW YORK, NY 10178 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $53K | $23K | $76K | 12.32% |
| ALLIANT INSURANCE SERVICES, INC.3 | 101 PARK AVENUE, 14TH FLOOR NEW YORK, NY 10178 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $0 | $12K | 15.00% |
| CENTRAL GROUP INSURANCE AGY., INC.3 | UNKNOWN NEW YORK, NY 10017 | TRIPLE S SALUD, INC. | $3K | — | $3K | 4.95% |
| PATRICK C. HARDIE & OTHERS3 | 14 WALL STREET, SUITE 8C NEW YORK, NY 10005 | AFLAC | $1K | $13 | $1K | 4.13% |
| KEITH LEPACK3 | 1991 BROADWAY APARTMENT 12B NEW YORK, NY 10023 | AFLAC | $928 | $108 | $1K | 3.18% |
| BARBARA ANN MEYER3 | 4232 RAFFIA PALM CIRCLE NAPLES, FL 34119 | AFLAC | $695 | $0 | $695 | 2.14% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 150 MOTOR PARKWAY, SUITE 207 HAUPPAUGE, NY 11788 | AFLAC | $671 | $0 | $671 | 2.06% |
| ALLIANT INSURANCE SERVICES, INC.3 | 101 PARK AVENUE, 14TH FLOOR NEW YORK, NY 10178 | AFLAC | $527 | $0 | $527 | 1.62% |
| ROBERT NIVEYRO3 | PO BOX 2647 LUTZ, FL 33548 | AFLAC | $418 | $0 | $418 | 1.28% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, INC. | 2 PARK AVENUE, 20TH FLOOR NEW YORK, NY 10016 | AFLAC | $307 | $0 | $307 | 0.94% |
| BARBARA ANN MEYER3 | 4232 RAFFIA PALM CIRCLE NAPLES, FL 34119 | AFLAC | $983 | $0 | $983 | 3.28% |
| KEITH LEPACK3 | 1991 BROADWAY APARTMENT 12B NEW YORK, NY 10023 | AFLAC | $769 | $77 | $846 | 2.82% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS. SVCS, INC. & OTHERS | 1 FINANCIAL SQUARE, 32ND FLOOR NEW YORK, NY 10005 | AFLAC | $568 | $0 | $568 | 1.90% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 150 MOTOR PARKWAY, SUITE 207 HAUPPAUGE, NY 11788 | AFLAC | $527 | $0 | $527 | 1.76% |
| PATRICK RUHLE3 Filed as: PATRICK C. HARDIE | 14 WALL STREET, SUITE 8C NEW YORK, NY 10005 | AFLAC | $202 | $9 | $211 | 0.70% |
| BRYAN LEE3 Filed as: BRYAN ADAM LEE | 2664 DOROTHY STREET BELLMORE, NY 11710 | AFLAC | $173 | $38 | $211 | 0.70% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES, LLC | 2 RIVERSIDE DRIVE, SUITE 200 CAMDEN, NJ 08103 | AFLAC | $154 | $0 | $154 | 0.51% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2185 NORTH CALIFORNIA BOULEVARD SUITE 400 WALNUT CREEK, CA 94596 | KAISER FOUNDATION HEALTH PLAN, INC. | $516 | $0 | $516 | 3.18% |
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 | 1,400 | 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) | 1,400 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | TRIPLE S SALUD, INC. | 8 | $71K |
| Dental(2 contracts, 2 carriers) | TRIPLE S SALUD, INC. | 159 | $73K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 686 | $81K |
| Life insurance | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,078 | $620K |
| Short-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,078 | $620K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,078 | $620K |
| Prescription drug(2 contracts, 2 carriers) | TRIPLE S SALUD, INC. | 8 | $71K |
| Other(5 contracts, 4 carriers) | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,400 | $769K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,400 | — |
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.