| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | PO BOX 654118 DALLAS, TX 75265 | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | $40K | — | $40K | 2.10% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE STE 1000 MOUNT LAUREL, NJ 08054 | BLUE CROSS BLUE SHIELD OF KANSAS CITY | $14K | — | $14K | 5.00% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, INC. | 2 AQUARIUM DR STE 200 CAMDEN, NJ 081031000 | KAISER FOUNDATION HEALTH PLAN INC | $10K | — | $10K | 4.99% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | PO BOX 654118 DALLAS, TX 75265 | UNITED CONCORDIA INSURANCE COMPANY OF NEW YORK | $13K | $614 | $14K | 10.48% |
| CORPORATE SYNERGIES GROUP LLC3 | THE FERRY TERMINAL BUILDING 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $10K | $1K | $11K | 13.47% |
| PAUL THOMAS GIANGRECO3 | 375 HARRIS HILL RD UNITE 232 WILLIAMSVILLE, NY 14221 | AFLAC | $1K | — | $1K | 5.60% |
| PAUL THOMAS GIANGRECO3 | 184 SWEENEY ST APT 424 NORTH TONAWANDA, NY 14120 | AFLAC | $1K | $47 | $1K | 5.37% |
| CALLISTA JACKSON3 | 116 BEREHAVEN DR AMHERST, NY 14228 | AFLAC | $545 | — | $545 | 2.54% |
| MICHAEL P FARLEY3 | 1412 SWEET HOME RD STE 2 AMHERST, NY 14228 | AFLAC | $451 | $9 | $460 | 2.14% |
| ALAN LECLAIRE3 Filed as: ALAN RICHARD LECLAIRE AND VARIOUS | AGENTS 10600 CHEVROLET WAY STE 202 ESTERO, FL 33928 | AFLAC | $355 | — | $355 | 1.65% |
| DONALD VERGILS3 | 4860 GLENWOOD DR WILLIAMSVILLE, NY 14221 | AFLAC | $231 | $9 | $240 | 1.12% |
| MARK LAGRECA3 | 171 ELLEN DR #2 BUFFALO, NY 14225 | AFLAC | $82 | — | $82 | 0.38% |
| CHANDRA RENEE CARRIER3 Filed as: CHANDRA CARRIER | 10928 N SKILES CT KANSAS CITY, MO 64157 | AFLAC | $1K | $16 | $1K | 6.24% |
| PAUL THOMAS GIANGRECO3 Filed as: PAUL GIANGRECO | 375 HARRIS HILL RD UNIT 232 WILLIAMSVILLE, NY 14221 | AFLAC | $946 | $17 | $963 | 4.51% |
| CHAD J BASLER3 Filed as: CHAD BASLER | 460 NE LAKES EDGE DR LEES SUMMIT, MO 64064 | AFLAC | $313 | $5 | $318 | 1.49% |
| JULIE MURPHY3 | 6410 NW BLAIR RD PARKVILLE, MO 64152 | AFLAC | $222 | — | $222 | 1.04% |
| ELIZABETH A SUTLICK3 Filed as: ELIZABETH SUTLICK AND VARIOUS | AGENTS 3702 N 154TH TER BASEHOR, KS 66007 | AFLAC | $127 | — | $127 | 0.60% |
| SUZANNE MCROBERTS3 | 14445 NW 61ST ST PARKVILLE, MO 64152 | AFLAC | $54 | — | $54 | 0.25% |
| MONICA BLAINE BROCKMAN3 Filed as: MONICA BROCKMAN | 2301 BURLINGTON ST STE 200 NORTH KANSAS CITY, MO 64116 | AFLAC | $50 | — | $50 | 0.23% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | FSL NY | $1K | — | $1K | 10.00% |
| JOSEPH P CALARCO3 | PO BOX 130 63 GENESEE ST STE 2 AUBURN, NY 13021 | AFLAC | $52 | — | $52 | 5.06% |
| DULCE MARIA MEXIA3 | 2220 E ROUTE 66 STE 215 GLENDORA, CA 91740 | AFLAC | $44 | — | $44 | 4.28% |
| THOMPSON & ASSOCIATES INSURANCE INC3 | 2743 S SANDPIPER AVE ONTARIO, CA 91761 | AFLAC | $24 | — | $24 | 2.34% |
| DAVID J REESOR3 | 2220 E ROUTE 66 STE 215 GLENDORA, CA 91740 | AFLAC | $11 | — | $11 | 1.07% |
| IOANNIS T GRATSINOPOULOS3 Filed as: IOANNIS T GRATSINOPOULOS AND | VARIOUS AGENTS 3565 SUMMERLINN DR WEST LINN, OR 97068 | AFLAC | $2 | — | $2 | 0.19% |
| OWEN JOHNSTON3 | 796 N HART ST ORANGE, CA 92867 | AFLAC | $1 | — | $1 | 0.10% |
| IOANNIS T GRATSINOPOULOS3 | 1893 E DAULBY ST MERIDIAN, ID 83642 | AFLAC | $1 | — | $1 | 0.10% |
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 | 179 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 211 | $2.4M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY OF NEW YORK | 307 | $135K |
| Vision | FSL NY | 280 | $11K |
| Life insurance | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 181 | $79K |
| Short-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 181 | $79K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 181 | $79K |
| Prescription drug(3 contracts, 3 carriers) | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 211 | $2.4M |
| Other(5 contracts, 3 carriers) | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 181 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 307 | — |
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.