| 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 | 4.28% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 40 MARCUS DRIVE 3RD FLOOR MELVILLE, NY 11747 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $4K | — | $4K | 10.40% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 461 PANTIAGO ROAD E HAMPTON, NY 11937 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | — | $2K | 5.68% |
| MCO PARTNERS LLC3 | 315 WEST 39TH STREET SUITE 303 NEW YORK, NY 10018 | THE PAUL REVERE LIFE INSURANCE COMPANY | $922 | $221 | $1K | 3.62% |
| AIKEN ENTERPRISES LLC3 | 341 GILLIGAN ROAD HUDSON, NY 12534 | THE PAUL REVERE LIFE INSURANCE COMPANY | $343 | — | $343 | 1.09% |
| JENNIFER E LUBELSKY3 Filed as: JENNIFER E. LUBELSKY | 80 JOHN STREET NEW YORK, NY 10038 | THE PAUL REVERE LIFE INSURANCE COMPANY | $259 | $36 | $295 | 0.93% |
| VENESSA N DEAN3 Filed as: VENESSA N. DEAN | 1052 ASHFORD AVE SAN JUAN, PR 00907 | THE PAUL REVERE LIFE INSURANCE COMPANY | $282 | — | $282 | 0.89% |
| MICHELLE CONSTANTINO3 | 901 STUYVESANT AVE UNION, NJ 07083 | THE PAUL REVERE LIFE INSURANCE COMPANY | $249 | $1 | $250 | 0.79% |
| C & L REED ASSOCIATES LLC3 | 2911 GLENARDEN DRIVE CHARLESTON, SC 29414 | THE PAUL REVERE LIFE INSURANCE COMPANY | $150 | — | $150 | 0.47% |
| EDUARDO TUCTO3 | 16 OCEAN PARKWAY BROOKLYN, NY 11218 | THE PAUL REVERE LIFE INSURANCE COMPANY | $123 | $4 | $127 | 0.40% |
| SOTERIA PARTNERS LLC3 | 1050 WALL STREET WEST LYNDHURST, NJ 07071 | THE PAUL REVERE LIFE INSURANCE COMPANY | $83 | — | $83 | 0.26% |
| PENELOPE ELLEN DEAN3 | 3600 S OCEAN BLVD S PALM BEACH, FL 33480 | THE PAUL REVERE LIFE INSURANCE COMPANY | $79 | — | $79 | 0.25% |
| FLEURY ENTERPRISES INC3 Filed as: FLEURY ENTERPRISES INC. | 162 INDIAN POINT ROAD TIVERTON, RI 02878 | THE PAUL REVERE LIFE INSURANCE COMPANY | $78 | — | $78 | 0.25% |
| ROSEANN REYNOLDS3 | 163 CEDAR STREET BRANFORD, CT 06405 | THE PAUL REVERE LIFE INSURANCE COMPANY | $49 | — | $49 | 0.16% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E. BERG | 319 THOMASTON ROAD WATERTOWN, CT 06795 | THE PAUL REVERE LIFE INSURANCE COMPANY | $25 | — | $25 | 0.08% |
| YOLANDA TRISTANCHO-HELWIG3 | 449 CENTRAL AVE SAINT PETERSBURG, FL 33701 | THE PAUL REVERE LIFE INSURANCE COMPANY | $22 | — | $22 | 0.07% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | EYEMED VISION CARE | $2K | — | $2K | 13.38% |
| SISBON CONSULTING3 | 333 WEST 34TH STREET NEW YORK, NY 10001 | EYEMED VISION CARE | $457 | — | $457 | 3.44% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 Filed as: EDGEWOOD PARTENRS INSURANCE CENTER | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $38 | — | $38 | 4.03% |
| VENESSA N DEAN3 | 1052 ASHFORD AVE SAN JUAN, PR 00907 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 2.65% |
| PENELOPE ELLEN DEAN3 | 3600 S OCEAN BLVD S PALM BEACH, FL 33480 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 1.17% |
| 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 | 188 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE | 226 | $13K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 237 | $88K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 2 | $942 |
| Long-term disability | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 121 | $37K |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE | 115 | $219K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 237 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 237 | — |
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.