| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC. | 40 MARCUS DRIVE 3RD FLOOR MELVILLE, NY 11747 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 4.12% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC. | 40 MARCUS DRIVE 3RD FLOOR MELVILLE, NY 11747 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $3K | — | $3K | 7.50% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 40 MARCUS DRIVE 3RD FLOOR MELVILLE, NY 11747 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $444 | — | $444 | 1.00% |
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO EASTERN STATES INC | 333 W 34TH STREET NEW YORK, NY 10001 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $442 | — | $442 | 0.99% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC. | 461 PANTIAGO ROAD E HAMPTON, NY 11937 | THE PAUL REVERE LIFE INSURANCE COMPANY | $803 | — | $803 | 2.86% |
| MCO PARTNERS LLC3 | 315 WEST 39TH STREET SUITE 303 NEW YORK, NY 10018 | THE PAUL REVERE LIFE INSURANCE COMPANY | $645 | $101 | $746 | 2.66% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 461 PANTIAGO ROAD E HAMPTON, NY 11937 | THE PAUL REVERE LIFE INSURANCE COMPANY | $601 | — | $601 | 2.14% |
| AIKEN ENTERPRISES LLC3 | 341 GILLIGAN ROAD HUDSON, NY 12534 | THE PAUL REVERE LIFE INSURANCE COMPANY | $408 | — | $408 | 1.46% |
| VENESSA N DEAN3 Filed as: VENESSA N. DEAN | 1052 ASHFORD AVE SAN JUAN, PR 00907 | THE PAUL REVERE LIFE INSURANCE COMPANY | $350 | — | $350 | 1.25% |
| C & L REED ASSOCIATES LLC3 | 2911 GLENARDEN DRIVE CHARLESTON, SC 29414 | THE PAUL REVERE LIFE INSURANCE COMPANY | $179 | — | $179 | 0.64% |
| JENNIFER E LUBELSKY3 Filed as: JENNIFER E. LUBELSKY | 80 JOHN STREET NEW YORK, NY 10038 | THE PAUL REVERE LIFE INSURANCE COMPANY | $111 | $6 | $117 | 0.42% |
| MICHELLE CONSTANTINO3 | 901 STUYVESANT AVE UNION, NJ 07083 | THE PAUL REVERE LIFE INSURANCE COMPANY | $104 | $6 | $110 | 0.39% |
| PENELOPE ELLEN DEAN3 | 3600 S OCEAN BLVD S PALM BEACH, FL 33480 | THE PAUL REVERE LIFE INSURANCE COMPANY | $98 | — | $98 | 0.35% |
| FLEURY ENTERPRISES INC3 Filed as: FLEURY ENTERPRISES INC. | 162 INDIAN POINT ROAD TIVERTON, RI 02878 | THE PAUL REVERE LIFE INSURANCE COMPANY | $96 | — | $96 | 0.34% |
| BRAD BIEL3 | 1050 WALL STREET WEST LYNDHURST, NJ 07071 | THE PAUL REVERE LIFE INSURANCE COMPANY | $84 | — | $84 | 0.30% |
| ROSEANN REYNOLDS3 | 163 CEDAR STREET BRANFORD, CT 06405 | THE PAUL REVERE LIFE INSURANCE COMPANY | $58 | — | $58 | 0.21% |
| EDUARDO TUCTO3 | 16 OCEAN PARKWAY BROOKLYN, NY 11218 | THE PAUL REVERE LIFE INSURANCE COMPANY | $52 | $1 | $53 | 0.19% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E. BERG | 319 THOMASTON ROAD WATERTOWN, CT 06795 | THE PAUL REVERE LIFE INSURANCE COMPANY | $33 | — | $33 | 0.12% |
| YOLANDA TRISTANCHO-HELWIG3 | 449 CENTRAL AVE SAINT PETERSBURG, FL 33701 | THE PAUL REVERE LIFE INSURANCE COMPANY | $26 | — | $26 | 0.09% |
| SOTERIA PARTNERS LLC3 | 1050 WALL STREET WEST LYNDHURST, NJ 07071 | THE PAUL REVERE LIFE INSURANCE COMPANY | $14 | — | $14 | 0.05% |
| BRIAN R WADE3 Filed as: BRIAN R. WADE | 925 ORONOKE ROAD WATERBURY, CT 06708 | THE PAUL REVERE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.02% |
| SISBON CONSULTING3 | 333 WEST 34TH STREET NEW YORK, NY 10001 | EYEMED VISION CARE | $1K | — | $1K | 9.16% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN AND ASSOCIATES INC | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $32 | — | $32 | 3.40% |
| VENESSA N DEAN3 | 3555 SOUTH OCEAN BLVD SOUTH PALM BEACH, FL 33480 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 3.08% |
| PENELOPE ELLEN DEAN3 | 3555 S OCEAN BLVD APT 215 S PALM BEACH, FL 33480 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 1.27% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 461 PANTIAGO ROAD E HAMPTON, NY 11937 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 1.27% |
| FLUERY ENTERPRISES INC3 Filed as: FLUERY ENTERPRISES | 162 INDIAN POINT ROAD TIVERTON, RI 02878 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.53% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E BERG | 319 THOMASTON ROAD WATERTOWN, CT 06795 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.53% |
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 | 186 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 186 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE | 235 | $14K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 226 | $88K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 2 | $942 |
| Long-term disability | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 120 | $45K |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE | 113 | $215K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 226 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 235 | — |
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.