| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MEDOVA HEALTHCARE5 | 345 N RIVERVIEW SUITE 600 WICHITA, KS 67203 | INTEGON NATIONAL INSURANCE COMPANY | — | $88K | $88K | 33.02% |
| SAVOY ASSOCIATES3 Filed as: DONALD SAVOY DBA SAVOY ASSOCIATES | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | INTEGON NATIONAL INSURANCE COMPANY | $87K | — | $87K | 32.56% |
| TRANSPARENT HEALTHCARE GROUP4 | 630 FAIRVIEW ROAD SUITE 201 SWARTHMORE, PA 19081 | INTEGON NATIONAL INSURANCE COMPANY | — | $18K | $18K | 6.59% |
| RBI INSURANCE3 | 250 CROSSWAYS PARK DRIVE WOODBURY, NY 11797 | INTEGON NATIONAL INSURANCE COMPANY | $9K | — | $9K | 3.55% |
| FIRST HEALTH4 Filed as: FIRST HEALTH GROUP CORP. | 23291 NETWORK PLACE CHICAGO, IL 60673 | INTEGON NATIONAL INSURANCE COMPANY | — | $3K | $3K | 1.27% |
| CARE ADVOCATES4 | 345 N RIVERVIEW SUITE 600 WICHITA, KS 67203 | INTEGON NATIONAL INSURANCE COMPANY | — | $3K | $3K | 1.13% |
| PHCS4 Filed as: MULTIPLAN INC - PHCS | GENERAL POST OFFICE PO BOX 29380 NEW YORK, NY 10087 | INTEGON NATIONAL INSURANCE COMPANY | — | $3K | $3K | 1.08% |
| QUALITY CARE PARTNERS4 | 33 SOUTH FIFTH STREET ZANESVILLE, OH 43701 | INTEGON NATIONAL INSURANCE COMPANY | — | $3K | $3K | 1.00% |
| MAGNACARE NETWORK4 | 1600 STEWART AVENUE SUITE 700 WESTBURY, NY 11590 | INTEGON NATIONAL INSURANCE COMPANY | — | $3K | $3K | 0.96% |
| ARIZONA FOUNDATION4 | PO BOX 205057 DALLAS, TX 75320 | INTEGON NATIONAL INSURANCE COMPANY | — | $111 | $111 | 0.04% |
| SASSON, DONNA B3 | 29 SHADOWSTONE LN EAST WINDSOR, NJ 08520 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 6.96% |
| AP BENEFIT ADVISORS, LLC3 | 200 INTERNATIONAL DRIVE SUITE 4500 HUNT VALLEY, MD 21031 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $60 | — | $60 | 0.15% |
| DONNA B SASSON3 | 29 SHADOWSTONE LANE EAST WINDSOR, NJ 08520 | COMPANION LIFE INSURANCE COMPANY | $3K | — | $3K | 9.14% |
| AP BENEFITS ADVISORS LLC3 | 200 INTERNATIONAL CIRCLE SUITE 4500 HUNT VALLEY, MD 21030 | COMPANION LIFE INSURANCE COMPANY | $313 | — | $313 | 0.86% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $2K | $255 | $3K | 11.59% |
| MICHAEL P FARLEY3 Filed as: MICHAEL FARLEY | 1412 SWEET HOME ROAD STE 2 AMHERST, NY 14228 | AFLAC | $537 | — | $537 | 2.32% |
| DOUGLAS MEIER3 | 23 ROCKLEDGE TER POMPTON PLAINS, NJ 07444 | AFLAC | $367 | $51 | $418 | 1.80% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $284 | $51 | $335 | 1.45% |
| JANELLE M GADOMSKI3 Filed as: JANELLE GADOMSKI | 166 MIDLAND AVE YONKERS, NY 10705 | AFLAC | $250 | — | $250 | 1.08% |
| GROE INC3 | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $250 | — | $250 | 1.08% |
| MICHAEL A AURICCHIO INC3 Filed as: MICHAEL CHMIELOWIEC | 12 ARROWHEAD DR WEST SENECA, NY 14224 | AFLAC | $226 | — | $226 | 0.98% |
| GREGORY D MAZUROWSKI3 Filed as: GREGORY MAZUROWSKI | 156 DEER RDG GETZVILLE, NY 14068 | AFLAC | $210 | — | $210 | 0.91% |
| CLARE ROSE MIONE3 Filed as: CLARE MIONE | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $160 | — | $160 | 0.69% |
| JOSEPH P CALARCO3 Filed as: JOSEPH CALARCO | PO BOX 130 AUBURN, NY 13021 | AFLAC | $89 | — | $89 | 0.38% |
| BRAD JONES AND ASSOCIATES INC3 | 19 BRITISH AMERICAN BLVD LATHAM, NY 12110 | AFLAC | $43 | — | $43 | 0.19% |
| ANGELA MONTENEGRO3 | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $35 | — | $35 | 0.15% |
| PATRICK RUHLE3 Filed as: PATRICK HARDIE | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $30 | — | $30 | 0.13% |
| PAMELA C ZYGAJ3 Filed as: PAMELA ZYGAJ | 5609 NORTHSIDE DR #1 HAMBURG, NY 14075 | AFLAC | $17 | — | $17 | 0.07% |
| PAMELA KARDEEN3 | 17 JAMESTOWN ST # 1 GOWANDA, NY 14075 | AFLAC | $17 | — | $17 | 0.07% |
| KELLY A IRVINE3 Filed as: KELLY IRVINE | 15801 WHITE ORCHID LN #1 FORT MYERS, FL 33908 | AFLAC | $15 | — | $15 | 0.06% |
| LAURA BOHANNON3 | 23 S MARVINE AVE AUBURN, NY 13021 | AFLAC | $8 | — | $8 | 0.03% |
| JEFF DALABA3 | 8500 GILLY FLOWER CT BALDWINSVILLE, NY 13027 | AFLAC | $8 | — | $8 | 0.03% |
| JILL A SPIRA3 Filed as: JILL SPIRA | 354 3RD ST YOUNGSTOWN, NY 14174 | AFLAC | $7 | — | $7 | 0.03% |
| JOHN B INFERRERA3 Filed as: JOHN INFERRERA | 174 GARNSEY RD PITTSFORD, NY 14534 | AFLAC | $6 | — | $6 | 0.03% |
| STEVEN DALABA3 | 7683 SEDGEWICK RIDGE RD LEWISVILLE, NC 27023 | AFLAC | $6 | — | $6 | 0.03% |
| DUCK & COVER NY INC3 Filed as: DUCK & COVER NY INC. | 17 DALAMAR CT LATHAM, NY 12110 | AFLAC | $5 | — | $5 | 0.02% |
| KEVIN MURPHY3 | 11 WILLOWBROOK TER CLIFTON PARK, NY 12065 | AFLAC | $3 | — | $3 | 0.01% |
| RUSSELL T BARRETT3 Filed as: RUSSELL BARRETT | 665 SARATOGA RD APT 130 GANSEVOORT, NY 12831 | AFLAC | $1 | — | $1 | 0.00% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $924 | $107 | $1K | 9.87% |
| AMY HILT3 | 1535 COUNTY ROAD 14 GIBSONBURG, OH 43431 | AFLAC | $786 | $40 | $826 | 7.91% |
| KEITH YOUNG3 | 2309 LAMBERT DRIVE TOLEDO, OH 43613 | AFLAC | $347 | — | $347 | 3.32% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY MOTTER | 134 W SOUTH BOUNDARY ST SUITE A PERRYSBURG, OH 43551 | AFLAC | $257 | $32 | $289 | 2.77% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST SUITE 8C NEW YORK, NY 10005 | AFLAC | $184 | $21 | $205 | 1.96% |
| KEN MAJOR3 | 2211 MICHELSON DRIVE SUITE 1150 IRVINE, CA 92612 | AFLAC | $104 | $32 | $136 | 1.30% |
| DAVID N MULLINS JR3 Filed as: DAVID MULLINS JR | 7840 LINWOOD RD BOWLING GREEN, OH 43402 | AFLAC | $134 | — | $134 | 1.28% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $673 | $17 | $690 | 6.82% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $472 | $87 | $559 | 5.53% |
| MICHAEL P FARLEY3 Filed as: MICHAEL FARLEY | 1412 SWEET HOME ROAD SUITE 2 AMHERST, NY 14228 | AFLAC | $349 | — | $349 | 3.45% |
| SHARON A MARTIN-TOUSSAINT3 Filed as: SHARON MARTIN-TOUSSAINT | 231 PRIMROSE AVE MOUNT VERNON, NY 10552 | AFLAC | $327 | — | $327 | 3.23% |
| DOUGLAS MEIER3 | 23 ROCKLEDGE TER POMPTON PLAINS, NJ 07444 | AFLAC | $192 | $17 | $209 | 2.07% |
| GREGORY D MAZUROWSKI3 Filed as: GREGORY MAZUROWSKI | 16 DEER RDG GETZVILLE, NY 14068 | AFLAC | $68 | — | $68 | 0.67% |
| JOSEPH P CALARCO3 Filed as: JOSEPH CALARCO | PO BOX 130 AUBURN, NY 13021 | AFLAC | $23 | — | $23 | 0.23% |
| BRAD JONES AND ASSOCIATES INC3 | 19 BRITISH AMERICAN BLVD LATHAM, NY 12110 | AFLAC | $16 | — | $16 | 0.16% |
| KELLY A IRVINE3 Filed as: KELLY IRVINE | 15801 WHITE ORCHID LANE FORT MYERS, FL 33908 | AFLAC | $6 | — | $6 | 0.06% |
| KEVIN MURPHY3 | 11 WILLOWBROOK TER CLIFTON PARK, NY 12065 | AFLAC | $3 | — | $3 | 0.03% |
| JEFF DALABA3 | 8500 GILLY FLOWER CT BALDWINSVILLE, NY 13027 | AFLAC | $2 | — | $2 | 0.02% |
| DUCK & COVER NY INC3 | 17 DALAMAR CT LATHAM, NY 12110 | AFLAC | $1 | — | $1 | 0.01% |
| STEVEN DALABA3 | 7683 SEDGEWICK RIDGE RD LEWISVILLE, NC 27023 | AFLAC | $1 | — | $1 | 0.01% |
| JOHN B INFERRERA3 Filed as: JOHN INFERRERA | 174 GARNSEY RD PITTSFORD, NY 14534 | AFLAC | $1 | — | $1 | 0.01% |
| LAURA BOHANNON3 | 23 S MARVINE AVE AUBURN, NY 13021 | AFLAC | $1 | — | $1 | 0.01% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $1K | $64 | $1K | 12.63% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $611 | $27 | $638 | 7.52% |
| MICHAEL P FARLEY3 Filed as: MICHAEL FARLEY | 1412 SWEET HOME RD STE 2 AMHERST, NY 14228 | AFLAC | $251 | — | $251 | 2.96% |
| DOUGLAS MEIER3 | 23 ROCKLEDGE TER POMPTON PLAINS, NJ 07444 | AFLAC | $189 | $15 | $204 | 2.40% |
| GREGORY D MAZUROWSKI3 Filed as: GREGORY MAZUROWSKI | 145 DEER RDG GETZVILLE, NY 14068 | AFLAC | $76 | — | $76 | 0.90% |
| JOSEPH P CALARCO3 Filed as: JOSEPH CALARCO | PO BOX 130 AUBURN, NY 13021 | AFLAC | $19 | — | $19 | 0.22% |
| BRAD JONES AND ASSOCIATES INC3 | 19 BRITISH AMERICAN BLVD LATHAM, NY 12110 | AFLAC | $18 | — | $18 | 0.21% |
| LAURA BOHANNON3 | 23 S MARVINE AVE AUBURN, NY 13021 | AFLAC | $5 | — | $5 | 0.06% |
| KELLY A IRVINE3 Filed as: KELLY IRVINE | 15801 WHITE ORCHID LN FORT MYERS, FL 33908 | AFLAC | $5 | — | $5 | 0.06% |
| JEFF DALABA3 | 8500 GILLY FLOWER CT BALDWINSVILLE, NY 13027 | AFLAC | $3 | — | $3 | 0.04% |
| STEVEN DALABA3 | 7683 SEDGEWICK RIDGE RD LEWISVILLE, NC 27023 | AFLAC | $3 | — | $3 | 0.04% |
| JOHN B INFERRERA3 Filed as: JOHN INFERRERA | 174 GARNSEY RD PITTSFORD, NY 14534 | AFLAC | $3 | — | $3 | 0.04% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $1K | $51 | $2K | 26.72% |
| KEITH LEPACK3 | 1991 BROADWAY NEW YORK, NY 10023 | AFLAC | $241 | — | $241 | 4.24% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $185 | $10 | $195 | 3.43% |
| DOUGLAS MEIER3 | 23 ROCKLEDGE TER POMPTON PLAINS, NJ 07444 | AFLAC | $123 | $10 | $133 | 2.34% |
| ANTHONY M TESORIO SR3 Filed as: ANTHONY TESORIO | 535 CLUB SIDE DR NAPLES, FL 34110 | AFLAC | $56 | — | $56 | 0.99% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R ORGERA INC | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $45 | — | $45 | 0.79% |
| PATRICK RUHLE3 Filed as: PATRICK HARDIE | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $29 | — | $29 | 0.51% |
| LAURA BOHANNON3 | 23 S MARVINE AVE AUBURN, NY 13021 | AFLAC | $25 | — | $25 | 0.44% |
| JOSEPH P CALARCO3 Filed as: JOSEPH CALARCO | PO BOX 130 AUBURN, NY 13021 | AFLAC | $15 | — | $15 | 0.26% |
| STEVEN E DALABA3 Filed as: STEVEN DELABA | 7682 SEDGEWICK RIDGE RD LEWISVILLE, NC 27023 | AFLAC | $13 | — | $13 | 0.23% |
| BRAD JONES AND ASSOCIATES INC3 | 19 BRITISH AMERICAN BLVD LATHAM, NY 12110 | AFLAC | $2 | — | $2 | 0.04% |
| DUCK & COVER NY INC3 | 17 DALAMAR CT LATHAM, NY 12110 | AFLAC | $1 | — | $1 | 0.02% |
| RUSSELL T BARRETT3 Filed as: RUSSELL BARRETT | 665 SARATOGA RD APT 130 GANSEVOORT, NY 12831 | AFLAC | $1 | — | $1 | 0.02% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $518 | $49 | $567 | 10.65% |
| KEITH YOUNG3 | 2309 LAMBERT DRIVE TOLEDO, OH 43613 | AFLAC | $300 | — | $300 | 5.63% |
| AMY HILT3 | 1535 COUNTY ROAD 14 GIBSONBURG, OH 43431 | AFLAC | $273 | — | $273 | 5.13% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY MOTTER | 134 W SOUTH BOUNDARY ST SUITE A PERRYSBURG, OH 43551 | AFLAC | $166 | $30 | $196 | 3.68% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST SUITE 8C NEW YORK, NY 10005 | AFLAC | $94 | $10 | $104 | 1.95% |
| DAVID N MULLINS JR3 Filed as: DAVID MULLINS JR | 7840 LINWOOD ROAD BOWLING GREEN, OH 43402 | AFLAC | $102 | — | $102 | 1.92% |
| KEN MAJOR3 | 2211 MICHELSON DR SUITE 1150 IRVINE, CA 92612 | AFLAC | $48 | $15 | $63 | 1.18% |
| CHAD L NELSON3 Filed as: CHAD POLLOCK | 6506 ANTHONY DRIVE MAUMEE, OH 43537 | AFLAC | $6 | — | $6 | 0.11% |
| RICHARD WHELAN3 | 3507 NW CLUBSIDE CIRCLE BOCA RATON, FL 33496 | AFLAC | $6 | — | $6 | 0.11% |
| TODD BURKE3 | 401 E 80TH ST APT 6J NEW YORK, NY 10075 | AFLAC | $4 | — | $4 | 0.08% |
| BRIAN DAY3 | 13189 HITCHING POST RD DEWITT, MI 48820 | AFLAC | $2 | — | $2 | 0.04% |
| KENNETH MEIER3 | 11835 QUEENS BLVD SUITE 1403 FOREST HILLS, NY 11375 | AFLAC | $2 | — | $2 | 0.04% |
| IAN B BRANYON3 Filed as: IAN BRANYON | 2301 LUCIEN WAY SUITE 150 MAITLAND, FL 32751 | AFLAC | $1 | — | $1 | 0.02% |
| BENITO A ROTONDI II INC3 Filed as: BENITO ROTONDI II | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $1 | — | $1 | 0.02% |
| DBS BROKERAGE SERVICES3 | 29 SHADOWSTONE LANE EAST WINDSOR, NJ 08520 | ACE AMERICAN INSURANCE COMPANY | $753 | — | $753 | 15.00% |
| MEDOVA HEALTHCARE5 | 345 N RIVERVIEW SUITE 600 WICHITA, KS 67203 | COFINITY, INC | — | $13K | $13K | 260.66% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $682 | $31 | $713 | 16.92% |
| KEITH YOUNG3 | 2309 LAMBERT DRIVE TOLEDO, OH 43613 | AFLAC | $145 | — | $145 | 3.44% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $108 | $6 | $114 | 2.70% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY MOTTER | 134 W SOUTH BOUNDARY ST SUITE A PERRYSBURG, OH 43551 | AFLAC | $49 | $9 | $58 | 1.38% |
| DOUGLAS MEIER3 | 14 WALL ST SUITE 8C NEW YORK, NY 10005 | AFLAC | $48 | — | $48 | 1.14% |
| KEN MAJOR3 | 2211 MICHELSON DRIVE SUITE 1150 IRVINE, CA 92612 | AFLAC | $30 | $9 | $39 | 0.93% |
| COLLEEN DONOVAN3 | 3801 W CLEVELAND ST TAMPA, FL 33609 | AFLAC | $13 | — | $13 | 0.31% |
| BETH LUANNE KIMBROUGH3 Filed as: BETH KIMBROUGH | 6750 N ANDREWS AVE SUITE 200 FT LAUDERDALE, FL 33309 | AFLAC | $4 | — | $4 | 0.09% |
| TODD BURKE3 | 401 E 80TH ST APT 6J NEW YORK, NY 10075 | AFLAC | $2 | — | $2 | 0.05% |
| KENNETH MEIER3 | 11835 QUEENS BLVD SUITE 1403 FOREST HILLS, NY 11375 | AFLAC | $1 | — | $1 | 0.02% |
| SUSAN BRIMHALL3 | PO BOX 336 SMITHS STATION, AL 36877 | AFLAC | $1 | — | $1 | 0.02% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $312 | $6 | $318 | 9.95% |
| HUNTER RUBLE3 | 3769 PROSPECT ROAD NEW LONDON, OH 44851 | AFLAC | $251 | $1 | $252 | 7.88% |
| MARK METTILLE3 Filed as: MARK TOPOLSKI | 5045 SAN LUIS REY DRIVE SYLVANIA, OH 43560 | AFLAC | $190 | $5 | $195 | 6.10% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $54 | $1 | $55 | 1.72% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY MOTTER | 134 W SOUTH BOUNDARY ST SUITE A PERRYSBURG, OH 43551 | AFLAC | $50 | $2 | $52 | 1.63% |
| RONALD T DREBERT3 Filed as: RONALD DREBERT | PO BOX 1442 FINDLAY, OH 45839 | AFLAC | $47 | — | $47 | 1.47% |
| AMY HILT3 | 1535 COUNTY ROAD 14 GIBSONBURG, OH 43431 | AFLAC | $20 | $5 | $25 | 0.78% |
| KEN MAJOR3 | 2211 MICHELSON DRIVE SUITE 1150 IRVINE, CA 92612 | AFLAC | $6 | $2 | $8 | 0.25% |
| CHAD L NELSON3 Filed as: CHAD POLLOCK | 6506 ANTHONY DRIVE MAUMEE, OH 43537 | AFLAC | $7 | — | $7 | 0.22% |
| TODD BURKE3 | 401 E 80TH ST APT J6 NEW YORK, NY 10075 | AFLAC | $6 | — | $6 | 0.19% |
| RICHARD WHELAN3 | 3507 NW CLUBSIDE CIR BOCA RATON, FL 33496 | AFLAC | $6 | — | $6 | 0.19% |
| ROBERT WAKEFIELD3 | 3172 VIA PALMA LN KISSIMMEE, FL 34744 | AFLAC | $5 | — | $5 | 0.16% |
| BRIAN DAY3 | 13189 HITCHING POST RD DEWITT, MI 48820 | AFLAC | $3 | — | $3 | 0.09% |
| KENNETH MEIER3 | 11835 QUEENS BLVD SUITE 1403 FOREST HILLS, NY 11375 | AFLAC | $3 | — | $3 | 0.09% |
| IAN B BRANYON3 Filed as: IAN BRANYON | 2301 LUCIEN WAY SUITE 150 MAITLAND, FL 32751 | AFLAC | $1 | — | $1 | 0.03% |
| BENITO A ROTONDI II INC3 Filed as: BENITO ROTONDI II | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $1 | — | $1 | 0.03% |
| SHAWN M MCDERMOTT3 Filed as: SHAWN MCDERMOTT | 9543 CONKLIN AVE CINCINNATI, OH 45242 | AFLAC | $1 | — | $1 | 0.03% |
| INGER M PENNINGTON3 Filed as: INGER PENNINGTON | 1369 BERKSHIRE DR MILFORD, OH 45150 | AFLAC | $1 | — | $1 | 0.03% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $614 | $105 | $719 | 23.44% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST SUITE 8C NEW YORK, NY 10005 | AFLAC | $112 | $21 | $133 | 4.34% |
| DOUGLAS MEIER3 | 14 WALL ST SUITE 8C NEW YORK, NY 10005 | AFLAC | $71 | $21 | $92 | 3.00% |
| MEDOVA HEALTHCARE5 | 345 N RIVERVIEW SUITE 600 WICHITA, KS 67203 | VISION SERVICE PLAN | — | $3K | $3K | 116.15% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | ALFAC | $388 | $79 | $467 | 17.61% |
| BETH SOMMERS3 | 255 MEADOWVIEW DRIVE ATTICA, MI 48412 | ALFAC | $101 | — | $101 | 3.81% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST STE 8C NEW YORK, NY 10005 | ALFAC | $75 | $16 | $91 | 3.43% |
| DOUGLAS MEIER3 | 14 WALL ST STE 8C NEW YORK, NY 10005 | ALFAC | $46 | $16 | $62 | 2.34% |
| MANON DEAN3 | 212 7TH ST BRIGHTON, MI 48116 | ALFAC | $34 | — | $34 | 1.28% |
| PETER JAMES SARANTIS3 Filed as: PETER SARANTIS | 26200 TOWN CENTER DR STE 110 NOVI, MI 48375 | ALFAC | $17 | — | $17 | 0.64% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $454 | $60 | $514 | 21.30% |
| BETH SOMMERS3 | 255 MEADOWVIEW DR ATTICA, MI 48412 | AFLAC | $176 | — | $176 | 7.29% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST SUITE 8C NEW YORK, NY 10005 | AFLAC | $91 | $12 | $103 | 4.27% |
| DOUGLAS MEIER3 | 14 WALL ST SUITE 8C NEW YORK, NY 10005 | AFLAC | $59 | $12 | $71 | 2.94% |
| PETER JAMES SARANTIS3 Filed as: PETER SARANTIS | 26200 TOWN CENTER DRIVE SUITE 110 NOVI, MI 48375 | AFLAC | $22 | — | $22 | 0.91% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $833 | — | $833 | 36.19% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $111 | — | $111 | 4.82% |
| DOUGLAS MEIER3 | 23 ROCKLEDGE TER POMPTON PLAINS, NJ 07444 | AFLAC | $74 | — | $74 | 3.21% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R ORGERA INC | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $23 | — | $23 | 1.00% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $325 | $25 | $350 | 25.29% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $39 | $5 | $44 | 3.18% |
| DOUGLAS MEIER3 | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $24 | $5 | $29 | 2.10% |
| PATRICK RUHLE3 Filed as: PATRICK HARDIE | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $15 | — | $15 | 1.08% |
| JASON SALLEMI3 Filed as: JASON SILLEMI | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $44 | — | $44 | 3.49% |
| TODD J BURKE CORP3 | 401 E 80TH ST APT 6J NEW YORK, NY 10075 | AFLAC | $21 | — | $21 | 1.66% |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVE STE 312 GARDEN CITY, NY 11530 | AFLAC | $9 | — | $9 | 0.71% |
| BENITO A ROTONDI II INC3 Filed as: BENITO A ROTUNDI II INC | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $3 | — | $3 | 0.24% |
| BRIAN WHITE3 | 6 COWDIN LN CHAPPAQUA, NY 10514 | AFLAC | $3 | — | $3 | 0.24% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $270 | — | $270 | 36.54% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $42 | — | $42 | 5.68% |
| DOUGLAS MEIER3 | 23 ROCKLEDGE TER POMPTON PLAINS, NJ 07444 | AFLAC | $29 | — | $29 | 3.92% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $48 | — | $48 | 8.38% |
| IVAN M SERVAIS3 Filed as: IVAN SERVAIS | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $12 | — | $12 | 2.09% |
| DOROTHEA MACON3 | 4582 W DEER RUN DR APT 202 MILWAUKEE, WI 53223 | AFLAC | $9 | — | $9 | 1.57% |
| LINDA J LAYBER3 Filed as: LINDA LAYBER | 36345 SILVER MAPLE LN OCONOMOWOC, WI 53066 | AFLAC | $1 | — | $1 | 0.17% |
| GWENDOLYN M TRUSSELL3 Filed as: GWENDOLYN TRUSSELL | 3715 BURR OAK DR RACINE, WI 53406 | AFLAC | $1 | — | $1 | 0.17% |
| JACK D BREES3 Filed as: JACK BREES | 2725 S MOORLAND ROAD SUITE 301 NEW BERLIN, WI 53151 | AFLAC | $1 | — | $1 | 0.17% |
| DOUGLAS MEIER3 | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $1 | — | $1 | 0.17% |
| SASSON, DONNA B3 | 29 SHADOWSTONE LANE EAST WINDSOR, NJ 08520 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $27 | — | $27 | 16.27% |
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 | 171 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 176 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(17 contracts, 3 carriers) | AFLAC | 132 | $90K |
| Vision | VISION SERVICE PLAN | 143 | $3K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 171 | $40K |
| Short-term disability(16 contracts, 2 carriers) | AFLAC | 19 | $85K |
| Stop-loss / reinsurancereinsurance | INTEGON NATIONAL INSURANCE COMPANY | 167 | $266K |
| Other(19 contracts, 5 carriers) | COMPANION LIFE INSURANCE COMPANY | 479 | $127K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 479 | — |
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.