| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC Filed as: ACRISURE LLC UNION BENEFIT PLANNERS | 120 EAGLE ROCK AVENUE SUITE 195 EAST HANOVER, NJ 07936 | AETNA LIFE INSURANCE CO. | $217K | — | $217K | 16.28% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| JOSEPH STERN CO EIN 11-2767324 NONE | Accounting (including auditing) Service code 10 | 89 JOSEPH AVENUE STATEN ISLAND, NY 10304 | $288K |
| BRIAN SABBAGH EIN 98-9999999 EMPLOYEE | Employee (plan) Service code 30 | — | $209K |
| JOHN J DELANEY JR EIN 11-2684289 EMPLOYEE | Employee (plan) Service code 30 | — | $172K |
| ELSIE E O'NEILL EIN 15-5309418 EMPLOYEE | Employee (plan) Service code 30 | — | $167K |
| COLLERAN, O'HARA & MILLS EIN 11-2940050 NONE | Legal Service code 29 | 100 CROSSWAYS PARK DR W 200 WOODBURY, NY 11797 | $167K |
| JIM DUFFICY EIN 13-5622663 EMPLOYEE | Employee (plan) Service code 30 | — | $159K |
| HELENE SCHWARTZ EIN 13-5622663 EMPLOYEE | Employee (plan) Service code 30 | — | $153K |
| LUCIA D. BAUKNIGHT EIN 13-5622663 EMPLOYEE | Employee (plan) Service code 30 | — | $153K |
| IAN Y. CHAN EIN 13-5622663 EMPLOYEE | Employee (plan) Service code 30 | — | $145K |
| MARTIN E SEGAL & CO. EIN 13-1835864 NONE | Actuarial Service code 11 | 333 WEST 34TH ST NEW YORK, NY 10001 | $136K |
| DOREEN STENNETT EIN 06-1608291 EMPLOYEE | Employee (plan) Service code 30 | — | $129K |
| GARRENT L LEUNG EIN 12-7643463 EMPLOYEE | Employee (plan) Service code 30 | — | $119K |
| LORI DALTON EIN 13-5622663 EMPLOYEE | Employee (plan) Service code 30 | — | $96K |
| WESTERN ASSET MANAGEMENT CO EIN 98-9999999 NONE | Investment management Service code 28 | — | $96K |
| KEVIN CUSH EIN 98-9999999 EMPLOYEE | Employee (plan) Service code 30 | — | $92K |
| ZIEGLER CAPITAL MANAGEMENT EIN 98-9999999 NONE | Investment management Service code 28 | — | $87K |
| LI CHAN EIN 13-5622663 EMPLOYEE | Employee (plan) Service code 30 | — | $79K |
| DORI MELFI EIN 98-9999999 EMPLOYEE | Employee (plan) Service code 30 | — | $78K |
| DEDEN ZAENUDIN EIN 98-9999999 EMPLOYEE | Employee (plan) Service code 30 | — | $77K |
| MICHAEL CANNALONGA EIN 13-5622663 EMPLOYEE | Employee (plan) Service code 30 | — | $74K |
| ELIZABETH RILEY EIN 13-5622663 EMPLOYEE | Employee (plan) Service code 30 | — | $64K |
| MUKESH KHEMANI EIN 98-9999999 EMPLOYEE | Employee (plan) Service code 30 | — | $60K |
| DAVID CHEUNG EIN 98-9999999 EMPLOYEE | Employee (plan) Service code 30 | — | $60K |
| MARY HOFFMAN EIN 98-9999999 EMPLOYEE | Employee (plan) Service code 30 | — | $55K |
| GRASSI & CO CPAS EIN 11-3266576 NONE | Accounting (including auditing) Service code 10 | 50 JERICHO QUADRANGLE, SUITE 200 JERICHO, NY 11753 | $53K |
| MANNING & NAPIER EIN 98-9999999 NONE | Investment advisory (plan) Service code 27 | — | $52K |
| PHONG NGO EIN 58-6120195 EMPLOYEE | Employee (plan) Service code 30 | — | $50K |
| WILLIAM I. SHUZMAN PC EIN 13-3386674 NONE | Legal Service code 29 | 211 EAST 34TH ST NEW YORK, NY 10017 | $43K |
| JJ PIERSON EIN 22-3161519 NONE | Legal Service code 29 | 51 JFK PARKWAY FIRST FL WEST SHORT HILLS, NJ 07078 | $33K |
| R. VICTOR STEWART EIN 05-6349359 NONE | Consulting (pension) Service code 17 | 48 DELAFIELF DRIVE ALBANY, NY 12205 | $31K |
| STEVEN N DAVI NONE | Legal Service code 29 | 211 EAST 43TH ST NEW YORK, NY 10017 | $20K |
| BAHL & GAYNOR EIN 98-9999999 NONE | Investment management Service code 28 | — | $13K |
| CASO DOCUMENT MANAGEMENT EIN 13-4020673 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 3452 IH 35N SUITE 215 SAN ANTONIO, TX 78219 | $10K |
| MORGAN STANLEY SMITH BARNEY EIN 98-9999999 NONE | Custodial (securities) Service code 19 | — | $9K |
| MD SASS ASSOCIATES INC EIN 98-9999999 NONE | Investment management Service code 28 | — | $8K |
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 | 2,219 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 913 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AETNA LIFE INSURANCE CO. | 2,841 | $1.3M |
| Short-term disability | AETNA LIFE INSURANCE CO. | 2,841 | $1.3M |
| Other | AETNA LIFE INSURANCE CO. | 2,841 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,841 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.