| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE SUITE 100 MOUNT LAUREL, NJ 08054 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $12K | $9K | $21K | 3.47% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE SUITE 100 MOUNT LAUREL, NJ 08054 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $2K | $0 | $2K | 1.68% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE SUITE 100 MOUNT LAUREL, NJ 08054 | HM LIFE INSURANCE COMPANY | $15K | $0 | $15K | 15.00% |
| KENNETH C MEIER CORP3 Filed as: KENNETH MEIER CORP AND OTHER AGENTS | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $2K | $72 | $2K | 5.40% |
| BARBARA A. MEYER3 | 6 HICKORY LANE LEVITTOWN, NY 11756 | AFLAC | $1K | $23 | $2K | 3.31% |
| LADMAR ASSOCIATES LLC3 | 1983 MARCUS AVENUE SUITE 114 LAKE SUCCESS, NY 11042 | AFLAC | $1K | $0 | $1K | 3.06% |
| ROBERT NIVEYRO3 | 47 FOXGLOVE ROW RIVERHEAD, NY 11901 | AFLAC | $742 | $0 | $742 | 1.62% |
| KEITH LEPACK3 | 1991 BROADWAY NEW YORK, NY 10023 | AFLAC | $530 | $0 | $530 | 1.16% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE SUITE 100 MOUNT LAUREL, NJ 08054 | AFLAC | $440 | $0 | $440 | 0.96% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: RUHLE RISK MANAGEMENT | 200 GARDENT CITY PLAZA SUITE 410 GARDEN CITY, NY 11530 | AFLAC | $358 | $0 | $358 | 0.78% |
| BARBARA ANN MEYER3 | 6 HICKORY LN LEVITTOWN, NY 11756 | AFLAC | $2K | $0 | $2K | 5.28% |
| LADMAR ASSOCIATES LLC3 | 1983 MARCUS AVENUE SUITE 114 NEW HYDE PARK, NY 11042 | AFLAC | $1K | $0 | $1K | 2.57% |
| KEITH LEPACK3 | 1991 BROADWAY NEW YORK, NY 10023 | AFLAC | $996 | $0 | $996 | 2.50% |
| MICHAEL PASQUALY DESTEFANO3 Filed as: MICHAEL DESTEFANO AND OTHER AGENT | 4250 VETERANS MEMORIAL HIGHWAY SUITE 1015W HOLBROOK, NY 11741 | AFLAC | $501 | $0 | $501 | 1.26% |
| GEORGE J ROE3 Filed as: GEORGE J. ROE | 72 GARDENT STREET APARTMENT 6 HOBKEN, NJ 07030 | AFLAC | $363 | $0 | $363 | 0.91% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE SUITE 100 MOUNT LAUREL, NJ 08054 | AFLAC | $281 | $0 | $281 | 0.70% |
| PATRICK RUHLE3 Filed as: PATRICK C. HARDIE | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $219 | $0 | $219 | 0.55% |
| CENTRAL GROUP INSURANCE AGENCY3 Filed as: CENTRAL GROUP INSURANCE AGENCY INC. | UNKNOWN NEW YORK, NY 10011 | TRIPLE S SALUD, INC. | $1K | $0 | $1K | 5.00% |
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 | 1,130 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 21 | $128K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF NEW YORK | 1,199 | $532K |
| Vision | HM LIFE INSURANCE COMPANY | 730 | $98K |
| Life insurance | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,415 | $595K |
| Short-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,415 | $595K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,415 | $595K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 21 | $128K |
| Other(5 contracts, 4 carriers) | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,550 | $744K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,550 | — |
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."
No prospect flags tripped on this filing.