| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRIDEGMARK INSURANCE GROUP3 | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $31K | $114 | $31K | 2.42% |
| STRATEGIC WELLNESS & INS MANAGEMENT3 Filed as: STRATEGIC WELLNESS & INSURANCE | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $108 | — | $108 | 0.01% |
| INSGROUP INC3 Filed as: BRIDGEMARK INSURANCE GROUP SERVICES | 6929 NORTH HAYDEN ROAD SUITE C4-454 SCOTTSDALE, AZ 85250 | AMERITAS LIFE INSURANCE CORP. OF NEW YORK | $27K | — | $27K | 5.00% |
| BRIDGEMARK INS GROUP LLC3 Filed as: BRIDGEMARK INSURANCE GROU | 6929 NORTH HAYDEN ROAD SUITE C4454 SCOTTSDALE, AZ 85250 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $20K | — | $20K | 5.00% |
| BRIDGEMARK INS GROUP LLC3 Filed as: BRIDGEMARK INSURANCE GROU | 6929 NORTH HAYDEN ROAD SUITE C4454 SCOTTSDALE, AZ 85250 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $17K | — | $17K | 10.00% |
| BRIDGEMARK INS GROUP LLC3 Filed as: BRIDGEMARK INSURANCE GROU | 6929 NORTH HAYDEN ROAD SUITE C4454 SCOTTSDALE, AZ 85250 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | — | $10K | 10.00% |
| BRIDGEMARK INSURANCE GROUP3 | 6929 NORTH HAYDEN ROAD SUITE C4454 SCOTTSDALE, AZ 85250 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 10.58% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH PLAN OF ARIZONA, INC. | $234 | — | $234 | 0.80% |
| BRIDGEMARK INSURANCE GROUP3 | 6929 NORTH HAYDEN ROAD SUITE C4454 SCOTTSDALE, AZ 85250 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 5.22% |
| A SECURE YOU INC3 Filed as: A SECURE YOU INC. | 63 SABLE RUN EAST AMHERST, NY 14051 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $4K | — | $4K | 21.66% |
| MARC RODRIGUEZ3 | 449 WEST 44TH STREET APARTMENT 4K NEW YORK, NY 10036 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $2K | — | $2K | 11.66% |
| CHRISTOPHER J BRANTIGAN3 | 4004 MILLBRIDGE PARKWAY WAXHAW, NC 28173 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $217 | — | $217 | 1.26% |
| TONYA M MACK3 | 5023 WEST QUINCY STREET CHICAGO, IL 60644 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $71 | — | $71 | 0.41% |
| AUSTIN H SOARES3 | 260 TOWER AVENUE HARTFORD, CT 06120 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $20 | — | $20 | 0.12% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH OF NEW JERSEY, INC. | $79 | — | $79 | 0.92% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH OF TEXAS, INC. | $80 | — | $80 | 0.94% |
| DANA M CRUZ3 | 3 HAVEN PLAZA APARTMENT 11B NEW YORK, NY 10009 | AFLAC | $518 | — | $518 | 9.27% |
| EMILY MARIE EVANS3 | 2242 SOUTH SARATOGA MESA, AZ 85202 | AFLAC | $310 | $72 | $382 | 6.83% |
| BRIDEMARK INS GROUP LLC3 | 8902 EAST VIA LINDA #110-130 SCOTTSDALE, AZ 85258 | AFLAC | $250 | — | $250 | 4.47% |
| ROBERT TABAN DONATO3 | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $196 | $34 | $230 | 4.12% |
| NANCY ANNE MOCK3 | 573 EAST LARAMIE DRIVE WILLIAMS, AZ 86046 | AFLAC | $172 | $51 | $223 | 3.99% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R ORGERA | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $151 | $14 | $165 | 2.95% |
| MARY ALVARADO3 Filed as: MARY REAGEN ALVARADO | 16522 GILPIN STREET THORNTON, CO 80602 | AFLAC | $117 | $28 | $145 | 2.59% |
| NORMAN L ROBINSON3 | PO BOX 43 HOPKINTON, MA 01748 | AFLAC | $96 | $20 | $116 | 2.08% |
| JULIE-ANN KLEIN3 | 303 WEST ERIE STREET CHICAGO, IL 60654 | AFLAC | $79 | $27 | $106 | 1.90% |
| FILIPE A COELHO3 | 4515 SOUTH MCCLINTOCK DRIVE SUITE 212 TEMPE, AZ 85282 | AFLAC | $60 | $12 | $72 | 1.29% |
| JASON ANDERSON3 | 2050 EAST 101ST COURT THRONTON, CO 80229 | AFLAC | $33 | $6 | $39 | 0.70% |
| JEFFREY D HARNED3 Filed as: JEFFREY STEPHEN BLOCKER | 3 BARNESDALE ROAD NATICK, MA 01760 | AFLAC | $33 | $4 | $37 | 0.66% |
| KATHERINE ANDERSON3 | 2050 EAST 101ST COURT THRONTON, CO 80229 | AFLAC | $20 | $6 | $26 | 0.47% |
| ANDREW CASPERSON3 Filed as: ANDREW W CASPERSON | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | AFLAC | $19 | $5 | $24 | 0.43% |
| JONATHAN BURGESS3 Filed as: JONATHAN E BURGESS | 434 DONALD STREET BEDFORD, NH 03110 | AFLAC | $19 | $4 | $23 | 0.41% |
| NASCA & ASSOCIATES3 Filed as: NASCA AND ASSOCIATES LTD | 303 WEST ERIE STREET SUITE 400 CHICAGO, IL 60654 | AFLAC | $10 | $5 | $15 | 0.27% |
| THE SEGAL COMPANY3 Filed as: LAURA SEGEL | PO BOX 526 MORRISVILLE, NC 27560 | AFLAC | $14 | — | $14 | 0.25% |
| MICHELE M AVERY3 | 4485 FOXBORO LANE SLINGER, WI 53086 | AFLAC | $10 | — | $10 | 0.18% |
| PATRICIA M LEACH3 | 4405 HONEYWOOD LANE JACKSON, WI 53037 | AFLAC | $3 | — | $3 | 0.05% |
| JACK D BREES3 | 2989 WAUKESHA ROAD WEST ALLIS, WI 53227 | AFLAC | $2 | — | $2 | 0.04% |
| JOANNA M ROCKWELL3 Filed as: JOANNA M NASCA | 350 NORTH LA SALLE DRIVE SUITE 1410 CHICAGO, IL 60654 | AFLAC | $1 | — | $1 | 0.02% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH OF CALIFORNIA, INC. | $48 | — | $48 | 0.98% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH OF FLORIDA, INC. | $48 | — | $48 | 0.98% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH OF COLORADO, INC. | $34 | — | $34 | 0.93% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH PLAN OF PENNSYLVANIA, INC. | $36 | — | $36 | 0.98% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH OF VIRGINIA, INC. | $31 | — | $31 | 0.85% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH OF MARYLAND, INC. | $25 | — | $25 | 1.02% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH OF NORTH CAROLINA, CINC. | $20 | — | $20 | 0.82% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA DENTAL HEALTH OF ILLINOIS, INC. | $15 | — | $15 | 1.23% |
| BRIDGEMARK INSURANCE GROUP3 | — | CIGNA HEALTHCARE OF CONNECTICUT, INC. | $6 | — | $6 | 0.49% |
| SPHEREC GROUP LLC3 | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $201 | $11 | $212 | 19.17% |
| DANA M CRUZ3 | 3 HAVEN PLAZA APARTMENT 11B NEW YORK, NY 10009 | AFLAC | $175 | — | $175 | 15.82% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R ORGERA INC | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $63 | $3 | $66 | 5.97% |
| SPHEREC GROUP LLC3 | 388 BRIDGE STREET APARTMENT 34G BROOKLYN, NY 11201 | AFLAC | $31 | — | $31 | 2.80% |
| BRIDGEMARK INS GROUP LLC3 | 6929 NORTH HAYDEN ROAD SUITE C4-454 SCOTTSDALE, AZ 85250 | AFLAC | $11 | — | $11 | 0.99% |
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 | 2,554 | 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) | 2,554 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(14 contracts, 14 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,481 | $1.9M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,431 | $167K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,158 | $409K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 365 | $101K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,710 | $1.2M |
| Other(6 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,431 | $244K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,481 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.