| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DR STE 200 CAMDEN, NJ 08103 | UNITEDHEALTHCARE INSURANCE COMPANY | $129K | — | $129K | 4.03% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP INC | 1540 CORNERSTONE BLVD DAYTONA BEACH, FL 32117 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $334 | $334 | 0.01% |
| CORPORATE SYNERGIES GROUP LLC3 | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | DELTA DENTAL OF NEW YORK | $6K | — | $6K | 4.00% |
| CORPORATE SYNERGIES GROUP LLC3 | FERRY TERMINAL BUILDING 2 AQUARIUM DRIVE CAMDEN, NJ 08103 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | $1K | $9K | 15.05% |
| KIMBERLY O DEMETRI3 | 110 RUSHMORE CT FLORHAM PARK, NJ 07932 | AFLAC | $242 | — | $242 | 3.00% |
| SHIRLEY SASTRE SOUTO3 | PO BOX 140127 CORAL GABLES, FL 33114 | AFLAC | $167 | — | $167 | 2.07% |
| VICTORIA FERNANDEZ SASTRE3 Filed as: VICTORIA FERNANDEZ SASTRE AND | VARIOUS AGENTS 13025 SW 107TH CT MIAMI, FL 33176 | AFLAC | $89 | — | $89 | 1.10% |
| ANA MARIA LOPEZ3 | PO BOX 560147 MIAMI, FL 33256 | AFLAC | $83 | — | $83 | 1.03% |
| MARTA M SASTRE3 | 1214 COLUMBUS BLVD CORAL GABLES, FL 33114 | AFLAC | $73 | — | $73 | 0.91% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER | 19 MARKWOOD RD FOREST HILLS, NY 11375 | AFLAC | $25 | — | $25 | 0.31% |
| RAYMOND J KOBER3 | 15712 12TH AVE WHITESTONE, NY 11357 | AFLAC | $24 | — | $24 | 0.30% |
| KIMBERLY O DEMETRI3 Filed as: KIMBERLY Y DEMETRI | 110 RUSHMORE CT FLORHAM PARK, NJ 07932 | AFLAC | $557 | — | $557 | 7.74% |
| KOBER ASSOCIATES LLC3 | 14107 20TH AVE STE 507 WHITESTONE, NY 11357 | AFLAC | $155 | — | $155 | 2.15% |
| STEPHEN WHITE3 Filed as: STEPHEN P WHITE | 5 EMERALD LN MONTEBELLO, NY 10901 | AFLAC | $123 | — | $123 | 1.71% |
| KENNETH C MEIER CORP3 | 19 MARKWOOD RD GARDEN CITY, NY 11530 | AFLAC | $54 | — | $54 | 0.75% |
| BRIAN WHITE3 | 6 COWDIN LN CHAPPAQUA, NY 10514 | AFLAC | $14 | — | $14 | 0.19% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE RD SARATOGA SPRINGS, NY 12866 | AFLAC | $10 | — | $10 | 0.14% |
| MICHAEL C DEMETRI3 | 43 WESTLAND AVE UNIT PH3 BOSTON, MA 02115 | AFLAC | $255 | — | $255 | 4.46% |
| EVAN D CROSS3 | 100 ALLERTON RD MILTON, MA 02186 | AFLAC | $136 | — | $136 | 2.38% |
| KIMBERLY O DEMETRI3 | 110 RUSHMORE CT FLORHAM PARK, NJ 07932 | AFLAC | $110 | — | $110 | 1.92% |
| MJ INSURANCE3 Filed as: RAYMOND J KOBER & VARIOUS AGENTS | 15712 12TH AVE WHITESTONE, NY 11357 | AFLAC | $40 | — | $40 | 0.70% |
| DAVID S HALLETT3 | 8 BROOKS ST WINCHESTER, MA 01890 | AFLAC | $35 | — | $35 | 0.61% |
| PATRICK RUHLE3 Filed as: PATRICK C HARDIE | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $25 | — | $25 | 0.44% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY A LIBECCI | 4864 ARTHUR KILL RD STE 3 STATEN ISLAND, NY 10309 | AFLAC | $19 | — | $19 | 0.33% |
| KEITH LEPACK3 | 1991 BROADWAY APT 12B NEW YORK, NY 10023 | AFLAC | $399 | $51 | $450 | 15.75% |
| KIMBERLY O DEMETRI3 | 110 RUSHMORE CT FLORHAM PARK, NJ 07932 | AFLAC | $184 | $18 | $202 | 7.07% |
| PATRICK RUHLE3 Filed as: PATRICK C HARDIE | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $68 | $12 | $80 | 2.80% |
| SALVATORE A RESTIVO3 | 248 ROUTE 25A #3009 EAST SETAUKET, NY 11733 | AFLAC | $47 | — | $47 | 1.64% |
| MJ INSURANCE3 Filed as: JACQUES P DAVID & VARIOUS AGENTS | 35 PINELAWN RD STE 190 MELVILLE, NY 11747 | AFLAC | $39 | — | $39 | 1.36% |
| MICHAEL BURACK3 | 46 THREEPENCE DR MELVILLE, NY 11747 | AFLAC | $12 | — | $12 | 0.42% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER | 19 MARKWOOD RD FOREST HILLS, NY 11375 | AFLAC | $10 | — | $10 | 0.35% |
| SCOTT G GOFF3 | 12311 COLBY CIR TYLER, TX 75707 | AFLAC | $48 | — | $48 | 2.58% |
| JOYCE C BERGER3 | 3644 E ELLSWORTH AVE DENVER, CO 80209 | AFLAC | $31 | — | $31 | 1.67% |
| KIMBERLY O DEMETRI3 | 110 RUSHMORE CT FLORHAM PARK, NJ 07932 | AFLAC | $21 | — | $21 | 1.13% |
| ERIC GRACE3 | 10041 GRANITE HILL DR PARKER, CO 80134 | AFLAC | $17 | — | $17 | 0.92% |
| KEN MAJOR3 Filed as: KEN L MAJOR | 2211 MICHELSON DR STE 1150 IRVINE, CA 92612 | AFLAC | $10 | — | $10 | 0.54% |
| TIMOTHY B ASBY3 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $8 | — | $8 | 0.43% |
| JONATHAN SAMUEL KIRKLAND3 Filed as: JONATHAN SAMUEL KIRKLAND & VARIOUS | AGENTS 1270 HOPEWELL CRST ALPHARETTA, GA 30004 | AFLAC | $8 | — | $8 | 0.43% |
| DEBORAH LEE SMITH3 | 2236 LOCH LOMOND DR VIENNA, VA 22181 | AFLAC | $34 | — | $34 | 3.97% |
| KIMBERLY O DEMETRI3 | 110 RUSHMORE CT FLORHAM PARK, NJ 07932 | AFLAC | $23 | — | $23 | 2.69% |
| AIMEE STATON HARDY3 | 120 HUNTINGTON HILLS LN FREDERICKSBURG, VA 22401 | AFLAC | $18 | — | $18 | 2.10% |
| ROBERT A ANDERSON3 | 13710 GENERAL GEARY CT FREDERICKSBURG, VA 22407 | AFLAC | $8 | — | $8 | 0.93% |
| DAVID N MORGAN3 | 906 MERCHANT LEE PL MANAKIN SABOT, VA 23103 | AFLAC | $3 | — | $3 | 0.35% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER | 19 MARKWOOD RD FOREST HILLS, NY 11375 | AFLAC | $3 | — | $3 | 0.35% |
| MJ INSURANCE3 Filed as: DUANE A ADAMS & VARIOUS AGENTS | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $3 | — | $3 | 0.35% |
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 | 159 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 412 | $3.2M |
| Dental | DELTA DENTAL OF NEW YORK | 385 | $158K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 412 | $3.2M |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 159 | $61K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 159 | $61K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 412 | $3.2M |
| Other(7 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 159 | $88K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 412 | — |
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.