| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: GILROY KERNAN & GILROY INC. | PO BOX 542 NEW HARTFORD, NY 13413 | EXCELLUS BLUECROSS BLUESHIELD PLAN | $50K | — | $50K | 4.15% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: GILROY KERNAN & GILROY INC. | 210 CLINTON RD NEW HARTFORD, NY 13413 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | $6K | $14K | 10.10% |
| ADIRONDACK FINANCIAL SERVICES3 Filed as: ADIRONDACK FINANCIAL SERVICES CORP. | 185 GENESEE STREET UTICA, NY 13501 | THE PAUL REVERE LIFE INSURANCE COMPANY | $7K | — | $7K | 8.71% |
| KEVIN EDWARDS3 | 8332 MOYER CARRIAGE CICERO, NY 13039 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | $2K | $4K | 5.42% |
| RYAN DORSEY3 | 4483 MILLSTREAM DR CLAY, NY 13041 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | $1K | $3K | 3.93% |
| TRISHA TYMINSKI3 | PO BOX 439 CONSTANTIA, NY 13044 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | $738 | $3K | 3.71% |
| VALERIE CELI3 | 6530 LAKEHORE ROAD CICERO, NY 13039 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $441 | $1K | 1.94% |
| MEAGAN M MARTIN3 | 721 NORTH CLINTON STREET SYRACUSE, NY 13204 | THE PAUL REVERE LIFE INSURANCE COMPANY | $433 | $1K | $1K | 1.92% |
| KATHY W STEWART3 | 185 GENESEE STREET UTICA, NY 13501 | THE PAUL REVERE LIFE INSURANCE COMPANY | $794 | — | $794 | 1.06% |
| ANTHONY MATRONE3 | 4797 ROUTE 31 CLAY, NY 13041 | THE PAUL REVERE LIFE INSURANCE COMPANY | $331 | $66 | $397 | 0.53% |
| MICHAEL KLINE3 | 4207 CENTER GATE LN SARASOTA, FL 34233 | THE PAUL REVERE LIFE INSURANCE COMPANY | $224 | — | $224 | 0.30% |
| MARLENE ANDERSON3 | 185 GENESEE STREET UTICA, NY 13501 | THE PAUL REVERE LIFE INSURANCE COMPANY | $110 | — | $110 | 0.15% |
| MELISSA PINE3 | 708 PARK AVE HERKIMER, NY 13350 | THE PAUL REVERE LIFE INSURANCE COMPANY | $4 | $9 | $13 | 0.02% |
| LAURA MEDICO3 | 7783 BRANIFF CIRCLE CICERO, NY 13039 | THE PAUL REVERE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: GILROY KERNAN & GILROY INC. | 210 CLINTON ST NEW HARTFORD, NY 13413 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | $1K | $5K | 11.99% |
| ADIRONDACK FINANCIAL SERVICES3 Filed as: ADIRONDACK FINANCIAL SERVICES CORP. | 185 GENESEE STREET, 2ND FLOOR UTICA, NY 13501 | HIGHMARK LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| ADIRONDACK FINANCIAL SERVICES3 Filed as: ADIRONDACK FINANCIAL SERVICES CORP. | 185 GENESEE STREET, 2ND FLOOR UTICA, NY 13501 | UNION SECURITY LIFE INSURANCE COMPANY OF NEW YORK | $4K | — | $4K | 15.00% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: GILROY KERNAN & GILROY INC. | PO BOX 542 NEW HARTFORD, NY 13413 | FIRST UNUM LIFE INSURANCE COMPANY | $34 | — | $34 | 3.21% |
| ADIRONDACK FINANCIAL SERVICES3 Filed as: ADIRONDACK FINANCIAL SERVICES CORP. | 185 GENESEE STREET, 2ND FLOOR UTICA, NY 13501 | FIRST UNUM LIFE INSURANCE COMPANY | $17 | — | $17 | 1.61% |
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 | 377 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 380 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EXCELLUS BLUECROSS BLUESHIELD PLAN | 237 | $1.2M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 388 | $140K |
| Vision | HIGHMARK LIFE INSURANCE COMPANY | 587 | $35K |
| Life insurance(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 388 | $169K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 388 | $140K |
| Prescription drug | EXCELLUS BLUECROSS BLUESHIELD PLAN | 237 | $1.2M |
| Other(5 contracts, 4 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 427 | $287K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 587 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.