| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | PO BOX 734751 DALLAS, TX 75373 | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | $41K | — | $41K | 2.08% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE STE 1000 MOUNT LAUREL, NJ 08054 | BLUE CROSS BLUE SHIELD OF KANSAS CITY | $18K | — | $18K | 5.08% |
| 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 | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | UNITED CONCORDIA INSURANCE COMPANY OF NEW YORK | $13K | — | $13K | 9.98% |
| CORPORATE SYNERGIES GROUP LLC3 | THE FERRY TERMINAL BUILDING 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $11K | — | $11K | 11.92% |
| PAUL THOMAS GIANGRECO3 | 375 HARRIS HILL RD UNIT 232 WILLIAMSVILLE, NY 14221 | AFLAC | $2K | $177 | $2K | 9.79% |
| CALLISTA JACKSON3 | 116 BEREHAVEN DR AMHERST, NY 14228 | AFLAC | $539 | — | $539 | 2.47% |
| MICHAEL P FARLEY3 | 1412 SWEET HOME RD STE 2 AMHERST, NY 14228 | AFLAC | $417 | $35 | $452 | 2.07% |
| GREGORY D MAZUROWSKI3 Filed as: GREGORY D MAZUROWSKI AND VARIOUS | AGENTS 156 DEER RDG GETZVILLE, NY 14068 | AFLAC | $344 | — | $344 | 1.58% |
| DONALD VERGILS3 | 4860 GLENWOOD DR WILLIAMSVILLE, NY 14221 | AFLAC | $109 | $35 | $144 | 0.66% |
| JILL A SPIRA3 | 354 3RD ST YOUNGSTOWN, NY 14174 | AFLAC | $111 | — | $111 | 0.51% |
| ALAN LECLAIRE3 Filed as: ALAN RICHARD LECLAIRE | 10600 CHEVROLET WAY STE 202 ESTERO, FL 33928 | AFLAC | $80 | — | $80 | 0.37% |
| CHANDRA RENEE CARRIER3 | 8606 NE 89TH PL KANSAS CITY, MO 64157 | AFLAC | $675 | $51 | $726 | 4.02% |
| PAUL THOMAS GIANGRECO3 | 375 HARRIS HILL RD UNIT 232 WILLIAMSVILLE, NY 14221 | AFLAC | $642 | $48 | $690 | 3.82% |
| CHAD J BASLER3 | 460 NE LAKES EDGE DR LEES SUMMIT, MO 64064 | AFLAC | $150 | $15 | $165 | 0.91% |
| ANDREA MOORE3 | 740 SW ESTATES DR LEES SUMMIT, MO 64082 | AFLAC | $153 | — | $153 | 0.85% |
| MONICA BLAINE BROCKMAN3 Filed as: MONICA BLAINE BROCKMAN AND VARIOUS | AGENTS 2301 BURLINGTON ST STE 200 NORTH KANSAS CITY, MO 64116 | AFLAC | $151 | — | $151 | 0.84% |
| JAMIE L PATTERSON3 | 510 N JEFFERSON ST RAYMORE, MO 64083 | AFLAC | $122 | — | $122 | 0.68% |
| NICOLE BETH JENKINS3 | 2301 BURLINGTON ST STE 200 KANSAS CITY, MO 64116 | AFLAC | $50 | — | $50 | 0.28% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | FSL NY | $1K | — | $1K | 10.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | HARTFORD LIFE AND ACCIDENT | $495 | — | $495 | 15.00% |
| JOSEPH P CALARCO3 | PO BOX 130 AUBURN, NY 13021 | AFLAC | $53 | — | $53 | 4.39% |
| DULCE MARIA MEXIA3 | 2220 E ROUTE 66 STE 215 GLENDORA, CA 91740 | AFLAC | $44 | — | $44 | 3.65% |
| THOMPSON & ASSOCIATES INSURANCE INC3 | 2743 S SANDPIPER AVE ONTARIO, CA 91761 | AFLAC | $24 | — | $24 | 1.99% |
| DAVID J REESOR3 | 1615 WILSON AVE UPLAND, CA 91784 | AFLAC | $11 | — | $11 | 0.91% |
| IOANNIS T GRATSINOPOULOS3 | 1893 E DAULBY ST MERIDIAN, ID 83642 | AFLAC | $1 | — | $1 | 0.08% |
| OWEN JOHNSTON3 | 1231 W 2ND ST SANTA ANA, CA 92703 | AFLAC | $1 | — | $1 | 0.08% |
| KELLY A IRVINE3 Filed as: KELLY ANN IRVINE | 15801 WHITE ORCHID LN FORT MYERS, FL 33908 | AFLAC | $1 | — | $1 | 0.08% |
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 | 177 | 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) | 178 | 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 | 210 | $2.5M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY OF NEW YORK | 297 | $133K |
| Vision | FSL NY | 280 | $11K |
| Life insurance | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 178 | $89K |
| Short-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 178 | $89K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 178 | $89K |
| Prescription drug(3 contracts, 3 carriers) | BLUECROSS BLUESHIELD OF WESTERN NEW YORK | 210 | $2.5M |
| Other(5 contracts, 3 carriers) | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 178 | $134K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 297 | — |
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.