| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE MOUNT LAUREL, NJ 08054 | HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC. | $39K | — | $39K | 2.12% |
| CORPORATE SYNERGIES GROUP LLC3 | 5000 DEARBORN CIRCLE STE 1000 MOUNT LAUREL, NJ 08054 | BLUE CROSS BLUE SHIELD OF KANSAS CITY | $26K | — | $26K | 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. | $13K | — | $13K | 5.36% |
| CORPORATE SYNERGIES GROUP LLC3 | THE FERRY TERMINAL BUILDING 2 AQUARIUM DRIVE SUITE 200 CAMDEN, NJ 08103 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $17K | $2K | $19K | 13.77% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP. | 9700 ORMSBY STATION ROAD SUITE 200 LOUISVILLE, KY 40223 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $857 | $857 | 0.61% |
| 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 | $14K | $57 | $14K | 10.82% |
| PAUL THOMAS GIANGRECO3 | 375 HARRIS HILL RD UNIT 232 WILLIAMSVILLE, NY 14221 | AFLAC | $4K | $205 | $4K | 12.19% |
| MICHAEL P FARLEY3 | 5586 MAIN ST STE 209 WILLIAMSVILLE, NY 14221 | AFLAC | $593 | $32 | $625 | 1.84% |
| SHANE STICKLE3 | 6787 VAIL DR HAMBURG, NY 14075 | AFLAC | $484 | $32 | $516 | 1.52% |
| CALLISTA JACKSON3 | 116 BEREHAVEN DR AMHERST, NY 14228 | AFLAC | $408 | — | $408 | 1.20% |
| DONALD VERGILS3 Filed as: DONALD VERGILS AND VARIOUS | AGENTS 4860 GLENWOOD DR WILLIAMSVILLE, NY 14221 | AFLAC | $228 | — | $228 | 0.67% |
| MARK LAGRECA3 | 171 ELLEN DR #2 BUFFALO, NY 14225 | AFLAC | $140 | — | $140 | 0.41% |
| ALAN LECLAIRE3 Filed as: ALAN RICHARD LECLAIRE | 10600 CHEVROLET WAY STE 202 ESTERO, FL 33928 | AFLAC | $86 | — | $86 | 0.25% |
| PARKHAVEN BENEFITS LLC3 | 8606 NE 89TH PL KANSAS CITY, MO 64157 | AFLAC | $976 | $24 | $1K | 7.61% |
| PAUL THOMAS GIANGRECO3 | 375 HARRIS HILL RD UNIT 232 WILLIAMSVILLE, NY 14221 | AFLAC | $667 | $16 | $683 | 5.20% |
| RYAN LAGER3 Filed as: RYAN LAGER LLC | 9221 NE 111TH ST KANSAS CITY, MO 64157 | AFLAC | $179 | $4 | $183 | 1.39% |
| THE C & S GROUP INC AND VARIOUS3 | AGENTS 2301 BURLINGTON ST STE 200 NORTH KANSAS CITY, MO 64116 | AFLAC | $151 | — | $151 | 1.15% |
| MINDY SKIDMORE LLC3 | 2301 BURLINGTON ST STE 200 NORTH KANSAS CITY, MO 64116 | AFLAC | $114 | $4 | $118 | 0.90% |
| SHANE STICKLE3 Filed as: SHANE S STICKLE | 6787 VAIL DR HAMBURG, NY 14075 | AFLAC | $68 | — | $68 | 0.52% |
| MONICA BLAINE BROCKMAN3 | 2301 BURLINGTON ST STE 200 NORTH KANSAS CITY, MO 64116 | AFLAC | $60 | — | $60 | 0.46% |
| 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 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 | 1300 FAIRHAVEN AVE APT 3 SANTA ANA, CA 92705 | 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 | 169 | 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) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC. | 200 | $2.6M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY OF NEW YORK | 300 | $131K |
| Vision | FSL NY | 276 | $11K |
| Life insurance | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 190 | $140K |
| Short-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 190 | $140K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 190 | $140K |
| Prescription drug(3 contracts, 3 carriers) | HIGHMARK WESTERN AND NORTHEASTERN NEW YORK INC. | 200 | $2.6M |
| Other(5 contracts, 3 carriers) | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 190 | $188K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 300 | — |
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.