| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $148K | — | $148K | 2.98% |
| FIDUCIARY INTERMEDIARY LTD3 Filed as: FIDUCIARY INTERMEDIARY, LTD | 370 LEXINGTON AVENUE, SUITE 1601 NEW YORK, NY 10017 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | -$29 | — | -$29 | -0.00% |
| MAGII, INC.3 | 19 NICHOLAS WAY BAITING HOLLOW, NY 11933 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | -$70 | — | -$70 | -0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 377 OAK STREET GARDEN CITY, NY 11530 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $9K | $2K | $11K | 3.31% |
| MAGGII, INC.3 | 490 WHEELER ROAD HAUPAUGE, NY 11778 | FIRST UNUM LIFE INSURANCE COMPANY | $5K | $628 | $6K | 3.83% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 21ST FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | $5K | — | $5K | 3.45% |
| FIDUCIARY INTERMEDIARY LTD3 | 370 LEXINGTON AVENUE ROOM 703 NEW YORK, NY 10017 | FIRST UNUM LIFE INSURANCE COMPANY | — | $3K | $3K | 1.58% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | — | $2K | $2K | 0.96% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 21ST FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | $11K | — | $11K | 7.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | — | $2K | $2K | 1.37% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | VISION SERVICE PLAN | $2K | — | $2K | 2.83% |
| RANDY RIGOFF3 Filed as: RANDY LYNN RIGOFF | 12 EAST 86TH STREET, APT 1639 NEW YORK, NY 10028 | AFLAC | $5K | $307 | $5K | 9.08% |
| JILL LISA RAPPAPORT3 | 139 22ND STREET, APT B BROOKLYN, NY 11232 | AFLAC | $1K | — | $1K | 2.77% |
| TREVOR FENNELL3 | 11835 QUEENS BOULEVARD SUITE 1403 FOREST HILLS, NY 11375 | AFLAC | $714 | $61 | $775 | 1.44% |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R ORGERA INC. | 14 WALL STREET, SUITE 8C NEW YORK, NY 10005 | AFLAC | $612 | $61 | $673 | 1.25% |
| MAGII, INC.3 Filed as: MAGII INC. AND VARIOUS OTHER AGENTS | 19 NICHOLAS WAY BATING HOLLOW, NY 11933 | AFLAC | $644 | — | $644 | 1.20% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER CORP. | 401 FRANKLIN AVENUE, SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $431 | $61 | $492 | 0.92% |
| GEORGE BLAIR WEILER3 | 400 EAST 71ST STREET, APR 5V NEW YORK, NY 10021 | AFLAC | $164 | — | $164 | 0.31% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 21ST FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | $3K | — | $3K | 7.50% |
| MAGII, INC.3 | 490 WHEELER ROAD, SUITE 265 HAUPPAUGE, NY 11788 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | $259 | $2K | 7.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | — | $575 | $575 | 1.72% |
| FIDUCIARY INTERMEDIARY LTD3 | 370 LEXINGTON AVENUE ROOM 703 NEW YORK, NY 10017 | FIRST UNUM LIFE INSURANCE COMPANY | — | $518 | $518 | 1.55% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 21ST FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | $3K | — | $3K | 12.73% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | — | $329 | $329 | 1.38% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 21ST FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | — | $2K | 9.18% |
| MAGII, INC.3 | 490 WHEELER ROAD, SUITE 265 HAUPAUGE, NY 11788 | FIRST UNUM LIFE INSURANCE COMPANY | $373 | $42 | $415 | 2.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | — | $214 | $214 | 1.04% |
| FIDUCIARY INTERMEDIARY LTD3 Filed as: FIDUCIARY INTERMEDIARY, LTD | 370 LEXINGTON AVENUE ROOM 703 NEW YORK, NY 10017 | FIRST UNUM LIFE INSURANCE COMPANY | — | $169 | $169 | 0.82% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 21ST FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | $2K | — | $2K | 12.50% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | — | $191 | $191 | 1.41% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 21ST FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | $932 | — | $932 | 11.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | — | $99 | $99 | 1.17% |
| MAGII, INC.3 | 490 WHEELER ROAD HAUPAUGE, NY 11788 | FIRST UNUM LIFE INSURANCE COMPANY | $69 | $7 | $76 | 0.90% |
| FIDUCIARY INTERMEDIARY LTD3 | 370 LEXINGTON AVENUE ROOM 703 NEW YORK, NY 10017 | FIRST UNUM LIFE INSURANCE COMPANY | — | $29 | $29 | 0.34% |
| GALLAGEHR BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 21ST FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | $752 | — | $752 | 13.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | FIRST UNUM LIFE INSURANCE COMPANY | — | $79 | $79 | 1.37% |
| ARNUM WAPPLES4 | 803 UNION STREET APARTMENT 4 BROOKLYN, NY 11215 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $432 | — | $432 | 7.83% |
| JOCELYN H. CARRINGTON4 | 189 SOUTH PORTLAND AVENUE APARTMENT 3 BROOKLYN, NY 11217 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $218 | — | $218 | 3.95% |
| ASHLEY L. GORDON COLLINS4 Filed as: ASHLEY L GORDON COLLINS | 205 QUINCY STREET APARTMENT 1L BROOKLYN, NY 11216 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $98 | — | $98 | 1.78% |
| HILDAURA VENCE4 | 315 FLATBUSH AVENUE BROOKLYN, NY 11217 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $74 | — | $74 | 1.34% |
| BORBOTKO INSURANCE GROUP LLC4 | 302 24TH STREET UNION CITY, NJ 07087 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $49 | — | $49 | 0.89% |
| GERALD TOMER4 | 317 MACON STREET BROOKLYN, NY 11216 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $27 | — | $27 | 0.49% |
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 | 688 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 688 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 799 | $5.0M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 543 | $339K |
| Vision | VISION SERVICE PLAN | 526 | $84K |
| Life insurance(8 contracts) | FIRST UNUM LIFE INSURANCE COMPANY | 538 | $402K |
| Short-term disability(8 contracts) | FIRST UNUM LIFE INSURANCE COMPANY | 538 | $402K |
| Long-term disability(8 contracts) | FIRST UNUM LIFE INSURANCE COMPANY | 538 | $402K |
| Prescription drug | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 799 | $5.0M |
| Other(10 contracts, 3 carriers) | FIRST UNUM LIFE INSURANCE COMPANY | 538 | $461K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 799 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.