| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO EASTERN STATES INC | 1920 N STREET NW STE 400 WASHINGTON, DC 20036 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $14K | — | $14K | 2.45% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY EASTERN STATES INC | 333 WEST 34TH STREET NEW YORK, NY 100012402 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 5.02% |
| THE SEGAL COMPANY3 | 333 W 34TH ST NEW YORK, NY 10001 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $4K | — | $4K | 10.21% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | — | $1K | 3.44% |
| THE WORKSIGHT GROUP LLC3 | 449 CENTRAL AVE SAINT PETERSBERG, FL 33701 | THE PAUL REVERE LIFE INSURANCE COMPANY | $527 | $230 | $757 | 2.39% |
| AIKEN ENTERPRISES LLC3 | 341 GILLIGAN RD HUDSON, NY 12534 | THE PAUL REVERE LIFE INSURANCE COMPANY | $596 | $33 | $629 | 1.98% |
| VENESSA N DEAN3 Filed as: VENESSA N. DEAN | 92 LIMEWOOD AVE BRANFORD, CT 06405 | THE PAUL REVERE LIFE INSURANCE COMPANY | $464 | $0 | $464 | 1.46% |
| THE SEGAL COMPANY3 Filed as: THE SEGAL COMPANY EASTERN STATES IN | 333 WEST 34TH STREET NEW YORK, NY 10001 | THE PAUL REVERE LIFE INSURANCE COMPANY | $324 | — | $324 | 1.02% |
| C & L REED ASSOCIATES LLC3 | 2911 GLENARDEN DRIVE CHARLESTON, SC 29414 | THE PAUL REVERE LIFE INSURANCE COMPANY | $200 | — | $200 | 0.63% |
| PENELOPE DEAN KENNY3 | 3555 S OCEAN BLVD S PALM BEACH, FL 33480 | THE PAUL REVERE LIFE INSURANCE COMPANY | $123 | — | $123 | 0.39% |
| BRAD BIEL3 | 1050 WALL STREET WEST LYNDHURST, NJ 07071 | THE PAUL REVERE LIFE INSURANCE COMPANY | $109 | $2 | $111 | 0.35% |
| DAVID L FLEURY3 Filed as: DAVID L. FLEURY | 545 SOUTH WATER ST PROVIDENCE, RI 02903 | THE PAUL REVERE LIFE INSURANCE COMPANY | $101 | — | $101 | 0.32% |
| ROSEANN REYNOLDS3 | 163 CEDAR ST BRANFORD, CT 06405 | THE PAUL REVERE LIFE INSURANCE COMPANY | $64 | — | $64 | 0.20% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E BERG | 319 THOMASTON RD WATERTOWN, CT 06795 | THE PAUL REVERE LIFE INSURANCE COMPANY | $35 | — | $35 | 0.11% |
| LORRAINE RHODES3 | 1465 ROUNTE 29 GALWAY, NY 12074 | THE PAUL REVERE LIFE INSURANCE COMPANY | $30 | $4 | $34 | 0.11% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES,INC. | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | DELTA DENTAL OF VIRGINIA | $1K | — | $1K | 4.02% |
| THE SEGAL COMPANY3 | 333 WEST 34TH STREET NEW YORK, NY 10001 | DELTA DENTAL OF VIRGINIA | $736 | — | $736 | 2.91% |
| THE SEGAL COMPANY3 Filed as: SIBSON CONSULTING(DIV OF SEGAL)NY | 333 WEST 34TH STREET NEW YORK, NY 10001 | EYE MED VISION CARE | $1K | — | $1K | 8.11% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $190 | — | $190 | 4.00% |
| VENESSA N DEAN3 | 92 LIMEWOOD AVENUE BRANFORD, CT 06405 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $109 | — | $109 | 2.30% |
| PENELOPE DEAN KENNY3 | 3555 S OCEAN BLVD APT 215 S PALM BEACH, FL 33480 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $105 | — | $105 | 2.21% |
| DAVID L FLEURY3 Filed as: DAVID L. FLEURY | 545 SOUTH WATER ST PROVIDENCE, RI 02903 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | — | $24 | 0.51% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E BERG | 319 THOMASTON RD WATERTOWN, CT 06795 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.23% |
| THE SEGAL COMPANY3 Filed as: SIBSON CONSULTING(DIV OF SEGAL) NY | 333 WEST 34TH STREET NEW YORK, NY 10001 | EYEMED VISION CARE | $634 | — | $634 | 14.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $99 | — | $99 | 3.49% |
| VENESSA N DEAN3 | 92 LIMEWOOD AVE BRANFORD, CT 06405 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $64 | — | $64 | 2.26% |
| PENELOPE DEAN KENNY3 | 3555 S OCEAN BLVD APT 215 S PALM BEACH, FL 33480 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $51 | — | $51 | 1.80% |
| DAVID L FLEURY3 | 545 SOUTH MAIN ST PROVIDENCE, RI 02903 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.42% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E BERG | 319 THOMASTON RD WATERTOWN, CT 06795 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.42% |
| THE SEGAL COMPANY3 | 333 W 34TH ST NEW YORK, NY 10001 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $300 | — | $300 | 13.91% |
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 | 215 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 51 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 266 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 96 | $585K |
| Dental | DELTA DENTAL OF VIRGINIA | 63 | $25K |
| Vision(2 contracts, 2 carriers) | EYE MED VISION CARE | 206 | $17K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 209 | $72K |
| Short-term disability | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 93 | $2K |
| Long-term disability | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 158 | $39K |
| Other(4 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 209 | $111K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 209 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.