| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STERLING AND STERLING, INC.3 | 135 CROSSWAYS PARK DRIVE, SUITE 300 WOODBURY, NY 11797 | UNITEDHEALTHCARE INSURANCE COMPANY | $114K | $0 | $114K | 3.08% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PARKWAY WEST VEVA 16, SUITE 320 BLUE BELL, PA 19422 | UNITEDHEALTHCARE INSURANCE COMPANY | $9K | $6K | $15K | 0.41% |
| STERLING AND STERLING, INC.3 Filed as: STERLING & STERLING, LLC | 135 CROSSWAYS PARK DRIVE, SUITE 300 WOODBURY, NY 11797 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | $0 | $7K | 0.18% |
| EMERSON REID LLC3 Filed as: EMERSON REID & COMPANY | 669 RIVER DRIVE, CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $507 | $507 | 0.01% |
| STERLING AND STERLING, INC.3 Filed as: STERLING & STERLING, LLC | 135 CROSSWAYS PARK DRIVE WOODBURY, NY 11797 | THE PAUL REVERE LIFE INSURANCE COMPANY | $5K | $0 | $5K | 6.40% |
| JENNIFER MCCLELLAN3 | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | THE PAUL REVERE LIFE INSURANCE COMPANY | $332 | $2K | $2K | 3.42% |
| DAVID J MCCLELLAN3 Filed as: DAVID J. MCCLELLAN AND OTHER AGENTS | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $51 | $1K | 2.10% |
| CLARICE R MIMS3 Filed as: CLARICE R. MIMS | 133 HILLCREST DRIVE MARLBORO, NY 12542 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $41 | $1K | 1.63% |
| JNAZ INC3 Filed as: JNAZ, INC. | 145 MIDDLEVILLE ROAD NORTHPORT, NY 11768 | THE PAUL REVERE LIFE INSURANCE COMPANY | $940 | $0 | $940 | 1.33% |
| PARKS BENEFITS & ENROLLMENT LLC3 Filed as: PARKS BENEFITS & ENROLLMENT, LLC | 504 LITCHFIELD LANE LEXINGTON, SC 29072 | THE PAUL REVERE LIFE INSURANCE COMPANY | $752 | $33 | $785 | 1.11% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ADAM IRA BROWN | 700 NE 7TH AVENUE, APARTMENT 6 FORT LAUDERDALE, FL 33304 | THE PAUL REVERE LIFE INSURANCE COMPANY | $451 | $208 | $659 | 0.93% |
| STERLING AND STERLING, INC.3 Filed as: STERLING & STERLING, LLC | 135 CROSSWAYS PARK DRIVE WOODBURY, NY 11797 | THE PAUL REVERE LIFE INSURANCE COMPANY | $6K | $0 | $6K | 10.49% |
| JENNIFER MCCLELLAN3 | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | THE PAUL REVERE LIFE INSURANCE COMPANY | $512 | $3K | $4K | 6.38% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ADAM IRA BROWN | 700 NE 7TH AVENUE, APARTMENT 6 FORT LAUDERDALE, FL 33304 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | $816 | $2K | 4.03% |
| JNAZ INC3 Filed as: JNAZ, INC. AND OTHER AGENTS | 145 MIDDLEVILLE ROAD NORTHPORT, NY 11768 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $212 | $1K | 2.25% |
| PARKS BENEFITS & ENROLLMENT LLC3 Filed as: PARKS BENEFITS & ENROLLMENT, LLC | 504 LITCHFIELD LANE LEXINGTON, SC 29072 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $61 | $1K | 2.13% |
| CLARICE R MIMS3 Filed as: CLARICE R. MIMS | 133 HILLCREST DRIVE MARLBORO, NY 12542 | THE PAUL REVERE LIFE INSURANCE COMPANY | $951 | $35 | $986 | 1.67% |
| DAVID J MCCLELLAN3 Filed as: DAVID J. MCCLELLAN | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | THE PAUL REVERE LIFE INSURANCE COMPANY | $521 | $0 | $521 | 0.88% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PARKWAY W. VEVA 16 SUITE 320 BLUE BELL, PA 19422 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $2K | $1K | $3K | 19.85% |
| STERLING AND STERLING, INC.3 Filed as: STERLING & STERLING, LLC | 135 CROSSWAYS PARK DRIVE WOODBURY, NY 11797 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $345 | $0 | $345 | 17.10% |
| CLARICE R MIMS3 Filed as: CLARICE R. MIMS | 133 HILLCREST DRIVE MARLBORO, NY 12542 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $166 | $11 | $177 | 8.78% |
| DAVID J MCCLELLAN3 Filed as: DAVID J. MCCLELLAN | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $41 | $123 | $164 | 8.13% |
| JENNIFER MCCLELLAN3 | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $53 | $94 | $147 | 7.29% |
| PARKS BENEFITS & ENROLLMENT LLC3 Filed as: PARKS BENEFITS & ENROLLMENT, LLC | 504 LITCHFIELD LANE LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $47 | $15 | $62 | 3.07% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ADAM IRA BROWN | 700 NE 7TH AVENUE, APARTMENT 6 FORT LAUDERDALE, FL 33304 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $39 | $17 | $56 | 2.78% |
| JNAZ INC3 Filed as: JNAZ, INC. AND OTHER AGENTS | 145 MIDDLEVILLE ROAD NORTHPORT, NY 11768 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | $3 | $22 | 1.09% |
| STERLING AND STERLING, INC.3 Filed as: STERLING & STERLING, LLC | 135 CROSSWAYS PARK DRIVE WOODBURY, NY 11797 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $81 | $0 | $81 | 22.38% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ADAM IRA BROWN | 700 NE 7TH AVENUE, APARTMENT 6 FORT LAUDERDALE, FL 33304 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $50 | $22 | $72 | 19.89% |
| JENNIFER MCCLELLAN3 | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | $27 | $42 | 11.60% |
| DAVID J MCCLELLAN3 Filed as: DAVID J. MCCLELLAN | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | $21 | $28 | 7.73% |
| PARKS BENEFITS & ENROLLMENT LLC3 Filed as: PARKS BENEFITS & ENROLLMENT, LLC | 504 LITCHFIELD LANE LEXINGTON, SC 29072 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | $5 | $20 | 5.52% |
| SINGLE POINT ENROLLMENT SOLUTIONS I3 Filed as: SINGLE POINT ENROLLMENTS SOLUTIONS | 14716 SW 112TH TERRACE MIAMI, FL 33196 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $3 | $5 | 1.38% |
| BRITO BENEFITS SOLUTIONS INC3 Filed as: BRITO BENEFITS SOLUTIONS, INC. | 14716 SW 112TH TERRACE MIAMI, FL 33196 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $1 | $3 | 0.83% |
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 | 200 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 430 | $3.7M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 430 | $3.7M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 430 | $3.7M |
| Life insurance(5 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 638 | $146K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 430 | $3.7M |
| Other(5 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 638 | $146K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 638 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.