| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STERLING AND STERLING, INC.3 Filed as: STERLING & STERLING LLC | 135 CROSSWAYS PARK DRIVE, SUITE 300 WOODBURY, NY 11797 | UNITEDHEALTHCARE INSURANCE COMPANY | $100K | $0 | $100K | 3.17% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PARKWAY W VEVA 16, SUITE 320 BLUE BELL, PA 19422 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | $0 | $7K | 0.23% |
| EMERSON REID LLC3 Filed as: EMERSON REID & CO | 669 RIVER DRIVE CENTER, SUITE 305 ELMWOOD PARK, NJ 07407 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $5K | $5K | 0.16% |
| STERLING AND STERLING, INC.3 Filed as: STERLING & STERLING LLC | 135 CROSSWAYS PARK DRIVE, SUITE 300 WOODBURY, NY 11797 | THE PAUL REVERE LIFE INSURANCE COMPANY | $5K | $0 | $5K | 6.40% |
| MJ INSURANCE3 Filed as: MAGDA WISDOM AND VARIOUS AGENTS | 2453 WILLOW PARK ROAD BETHLEHEM, PA 18020 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $52 | $1K | 1.66% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ADAM BROWN | 700 NE 7TH AVENUE, APARTMENT 6 FORT LAUDERDALE, FL 33304 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $208 | $1K | 1.56% |
| JNAZ INC3 | 145 MIDDLEVILLE ROAD NORTHPORT, NY 11768 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $0 | $1K | 1.53% |
| PARKS BENEFITS & ENROLLMENT LLC3 | 504 LITCHFIELD LANE LEXINGTON, SC 29072 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $84 | $1K | 1.45% |
| MICHELLE DARTEE3 | PO BOX 274 SPARTA, NJ 07871 | THE PAUL REVERE LIFE INSURANCE COMPANY | $651 | $1 | $652 | 0.79% |
| DAVID J MCCLELLAN3 Filed as: DAVID MCCLELLAN | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | THE PAUL REVERE LIFE INSURANCE COMPANY | $415 | $0 | $415 | 0.50% |
| STERLING AND STERLING, INC.3 Filed as: STERLING & STERLING LLC | 135 CROSSWAYS PARK DRIVE, SUITE 300 WOODBURY, NY 11797 | THE PAUL REVERE LIFE INSURANCE COMPANY | $4K | $0 | $4K | 8.13% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ADAM BROWN | 700 NE 7TH AVENUE, APARTMENT 6 FORT LAUDERDALE, FL 33304 | THE PAUL REVERE LIFE INSURANCE COMPANY | $931 | $180 | $1K | 2.40% |
| AMARILIS ALTAGRACIA CSIKORTOS3 Filed as: AMARILIS CSIKORTOS AND OTHER AGENTS | 480 CREEK TERRACE DRIVE SAGINAW, TX 76131 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $61 | $1K | 2.29% |
| PARKS BENEFITS & ENROLLMENT LLC3 | 504 LITCHFIELD LANE LEXINGTON, SC 29072 | THE PAUL REVERE LIFE INSURANCE COMPANY | $649 | $41 | $690 | 1.49% |
| JNAZ INC3 | 145 MIDDLEVILLE ROAD NORTHPORT, NY 11768 | THE PAUL REVERE LIFE INSURANCE COMPANY | $519 | $0 | $519 | 1.12% |
| MICHELLE DARTEE3 | PO BOX 274 SPARTA, NJ 07871 | THE PAUL REVERE LIFE INSURANCE COMPANY | $325 | $1 | $326 | 0.70% |
| DAVID J MCCLELLAN3 Filed as: DAVID MCCLELLAN | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | THE PAUL REVERE LIFE INSURANCE COMPANY | $269 | $0 | $269 | 0.58% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PARKWAY W VEVA 16, SUITE 320 BLUE BELL, PA 19422 | LINCOLN LIFE AND ANNUITY COMPANY OF NEW YORK | $1K | $1K | $3K | 19.35% |
| STERLING AND STERLING, INC.3 Filed as: STERLING & STERLING LLC | 135 CROSSWAYS PARK DRIVE, SUITE 300 WOODBURY, NY 11797 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $815 | $0 | $815 | 32.37% |
| PARKS BENEFITS & ENROLLMENT LLC3 | 504 LITCHFIELD LANE LEXINGTON, SC 29072 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $205 | $232 | $437 | 17.36% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ADAM BROWN | 700 NE 7TH AVENUE, APARTMENT 6 FORT LAUDERDALE, FL 33304 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $350 | $81 | $431 | 17.12% |
| DAVID J MCCLELLAN3 Filed as: DAVID MCCLELLAN | 118 ROYAL HORSE WAY REINHOLDS, PA 17569 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $47 | $132 | $179 | 7.11% |
| MAGDA ISABEL WISDOM3 Filed as: MAGDA WISDOM | 2453 WILLOW PARK ROAD BETHLEHEM, PA 18020 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $93 | $0 | $93 | 3.69% |
| MJ INSURANCE3 Filed as: B & B INSURANCE AND VARIOUS AGENTS | 14716 SW 112 TERRACE MIAMI, FL 33196 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $36 | $11 | $47 | 1.87% |
| BRITO BENEFITS SOLUTIONS INC3 | 14716 SW 112TH TERRACE MIAMI, FL 33196 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $15 | $9 | $24 | 0.95% |
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 | 180 | 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) | 182 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 338 | $3.2M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 338 | $3.2M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 338 | $3.2M |
| Life insurance(4 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 640 | $145K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 338 | $3.2M |
| Other(4 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 640 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 640 | — |
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.