| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ONEGROUP NY INC3 Filed as: ONEGROUP NY INC. | 706 N CLINTON ST SYRACUSE, NY 13204 | EXCELLUS BLUE CROSS BLUE SHIELD | $103K | — | $103K | 2.54% |
| PETER DERRENBACKER3 | 34 ASPEN PARK BLVD E SYRACUSE, NY 13057 | NORTHWESTERN MUTUAL | $10K | $3K | $13K | 4.26% |
| RP DODD GROUP INC3 | 34 ASPEN PARK BLVD E SYRACUSE, NY 13057 | NORTHWESTERN MUTUAL | $2K | $248 | $2K | 0.76% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY, INC | 706 N CLINTON STREET SYRACUSE, NY 13204 | EXCELLUS BLUE CROSS BLUE SHIELD | $6K | — | $6K | 3.27% |
| THE JAMES B OSWALD COMPANY3 Filed as: JAMES R NELLIGAN & ASSOC LLC | 2338 IMMOKALEE ROAD SUITE 240 NAPLES, FL 34110 | HARTFORD LIFE AND ACCIDENT | $5K | $9K | $13K | 7.54% |
| ONEGROUP NY INC3 Filed as: ONEGROUP NY INC. | 706 N CLINTON ST SYRACUSE, NY 13204 | VISION SERVICE PLAN | $2K | — | $2K | 3.53% |
| GARY WELTMANN3 Filed as: GARY F. WELTMANN | P.O. BOX 59816 POTOMAC, MD 20859 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $2K | $10K | 24.45% |
| ANDREW THOMAS3 | 4802 BURRSTONE RD SYRACUSE, NY 13215 | AFLAC | $2K | $32 | $2K | 6.94% |
| ONEGROUP NY INC3 | 706 N CLINTON ST SYRACUSE, NY 13204 | AFLAC | $692 | — | $692 | 2.88% |
| JOSEPH P CALARCO3 | PO BOX 130 AUBURN, NY 13021 | AFLAC | $513 | $7 | $520 | 2.16% |
| LAURA BOHANNON3 | 23 S MARVINE AVE AUBURN, NY 13021 | AFLAC | $325 | $7 | $332 | 1.38% |
| JENNIFER DICK3 | 891 BABCOCK LAKE RD PETERSBURG, NY 12138 | AFLAC | $141 | — | $141 | 0.59% |
| MARA ANNE GILLANI3 | 2848 N MYERS ST BURBANK, CA 91504 | AFLAC | $90 | — | $90 | 0.37% |
| JEFF DALABA3 | 8500 GILLY FLOWER CT BALDWINSVILLE, NY 13027 | AFLAC | $64 | — | $64 | 0.27% |
| GIBIDES INC3 | PO BOX 331 ROYERSFORD, PA 19468 | AFLAC | $64 | — | $64 | 0.27% |
| THE BERT COMPANY3 | 800 STATE ST STE 500 ERIE, PA 16501 | AFLAC | $32 | — | $32 | 0.13% |
| MICHAEL P FARLEY3 | 5586 MAIN ST WILLIAMSVILLE, NY 14221 | AFLAC | $27 | — | $27 | 0.11% |
| STEVEN E DALABA3 | 7683 SEDGEWICK RIDGE RD LEWISVILLE, NC 27023 | AFLAC | $18 | — | $18 | 0.07% |
| BANC INSURANCE AGENCY INC3 | 1 HARTFIELD BLVD STE 301 EAST WINDSOR, CT 06088 | AFLAC | $18 | — | $18 | 0.07% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | AFLAC | $13 | — | $13 | 0.05% |
| BRAD JONES AND ASSOCIATES INC3 | 19 BRITISH AMERICAN BLVD LATHAM, NY 12110 | AFLAC | $11 | — | $11 | 0.05% |
| KELLY A IRVINE3 | 15801 WHITE ORCHID LN FORT MYERS, FL 33908 | AFLAC | $9 | — | $9 | 0.04% |
| AMERICU SERVICES LLC3 | 1916 BLACK RIVER BLVD N ROME, NY 13440 | AFLAC | $5 | — | $5 | 0.02% |
| GREGORY A KRAUZA3 | 35 E MAIN ST STE 2 FREDONIA, NY 14063 | AFLAC | $4 | — | $4 | 0.02% |
| DUCK & COVER NY INC3 | 17 DALAMAR CT LATHAM, NY 12110 | AFLAC | $2 | — | $2 | 0.01% |
| KEVIN MURPHY3 | 11 WILLOWBROOK TER CLIFTON PARK, NC 12065 | AFLAC | $2 | — | $2 | 0.01% |
| JOHN B INFERRERA3 | 174 GARNSEY RD PITTSFORD, NY 14534 | AFLAC | $1 | — | $1 | 0.00% |
| LAURIE L SMITH3 | 577 TRUESDALE HILL RD LAKE GEORGE, NY 12845 | AFLAC | $1 | — | $1 | 0.00% |
| ANDREW THOMAS3 Filed as: ANDREW C THOMAS | 101 OLD CVE RD STE 114 LIVERPOOL, NY 13090 | AFLAC | $269 | — | $269 | 15.25% |
| ROGERS BENEFIT GROUP INC3 Filed as: MELANIE MARIE ROGERS | 14027 DANPARK LOOP FORT MYERS, FL 33912 | AFLAC | $101 | — | $101 | 5.73% |
| LAURA BOHANNON3 Filed as: LAURA A BOHANNON | 23 S MARVINE AVE AUBURN, NY 13021 | AFLAC | $56 | — | $56 | 3.17% |
| JOSEPH P CALARCO3 | PO BOX 130 AUBURN, NY 13021 | AFLAC | $53 | — | $53 | 3.00% |
| JAMIE HARTT3 | 23285 WILBER AVE PORT CHARLOTTE, FL 33980 | AFLAC | $13 | — | $13 | 0.74% |
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 | 432 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 50 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 482 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | EXCELLUS BLUE CROSS BLUE SHIELD | 310 | $4.3M |
| Vision | VISION SERVICE PLAN | 281 | $55K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 433 | $179K |
| Long-term disability | NORTHWESTERN MUTUAL | 427 | $303K |
| Prescription drug(2 contracts) | EXCELLUS BLUE CROSS BLUE SHIELD | 310 | $4.3M |
| Other(4 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 433 | $246K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 433 | — |
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.