| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JN SAVASTA CORP3 Filed as: JN SAVASTA CORP. | 1350 BROADWAY SUITE 410 NEW YORK, NY 10018 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | $43K | $45K | 5.59% |
| DONALD C SAVOY INC3 Filed as: DONALD C SAVOY | ROUND TABLE STUDIOS SUITE 1000, 200 CORNELL DRIVE BERKELEY HEIGHTS, NC 07922 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $11K | $11K | 1.34% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: RISK PLACEMENT SERVICES | ROUND TABLE STUDIOS 200 CONNELL DRIVE SUITE 1000 BERKELEY HEIGHTS, NJ 07922 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $7K | $7K | 0.82% |
| JN SAVASTA CORP3 Filed as: JN SAVASTA CORP. | 1350 BROADWAY SUITE 410 NEW YORK, NY 10018 | GLOBE LIFE AND ACCIDENT INSURANCE COMPANY | $13K | — | $13K | 15.00% |
| MITCH BESVINICK3 | 1280 BRIGHTON WAY NEWTOWN SQUARE, PA 19073 | GLOBE LIFE AND ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST MORRIS, IL 60450 | GLOBE LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 2.00% |
| JN SAVASTA CORP3 Filed as: JN SAVASTA | 1350 BROADWAY RM 410 SUITE 410 NEW YORK, NY 10018 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $6K | — | $6K | 6.84% |
| DONALD C SAVOY INC3 | ROUND TABLE STUDIOS 200 CONNELL DRIVE SUITE 1000 BERKELEY HEIGHTS, NJ 07922 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $2K | $2K | 2.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: RISK PLACEMENT SERVICES | ROUND TABLE STUDIOS 200 CONNELL DRIVE SUITE 1000 BERKELEY HEIGHTS, NJ 07922 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $2K | $2K | 1.99% |
| JOSEPH N SAVASTA3 | 1350 BROADWAY SUITE 410 NEW YORK, NY 10018 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | — | $12K | 27.01% |
| WILLIAM P. HILL3 Filed as: WILLIAM PAUL HILL | 35 KENNETH AVE HUNTINGTON, NY 11743 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9K | — | $9K | 20.67% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST MORRIS, IL 60450 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 8.80% |
| RICHARD PETERSON3 Filed as: RICHARD D PETERSON | 19 IDLE DAY DR CENTERPORT, NY 11721 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.85% |
| WILLIAM P. HILL3 Filed as: WILLIAM PAUL HILL | 35 KENNETH AVE HUNTINGTON, NY 11743 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.38% |
| JOYCE RODRIGUEZ3 | 9777 QUEENS BLVD FL 10 REGO PARK, NY 11374 | CONTINENTAL AMERICAN INSURANCE COMPANY | $463 | — | $463 | 1.02% |
| JOYCE RODRIGUEZ3 | 9777 QUEENS BLVD FL 10 REGO PARK, NY 11374 | CONTINENTAL AMERICAN INSURANCE COMPANY | $463 | — | $463 | 1.02% |
| MICHAEL RAIMO3 | 21 JACKSON ST EAST ISLIP, NY 11730 | CONTINENTAL AMERICAN INSURANCE COMPANY | $347 | — | $347 | 0.77% |
| ANTHONY CIPRIANO3 Filed as: ANTHONY ALGERIO | 7456 STHWAY 5 ST JOHNSVILLE, NY 13452 | CONTINENTAL AMERICAN INSURANCE COMPANY | $275 | — | $275 | 0.61% |
| ANTHONY CIPRIANO3 Filed as: ANTHONY ALGERIO | 7456 STHWY 5 ST JOHNSVILLE, NY 13452 | CONTINENTAL AMERICAN INSURANCE COMPANY | $275 | — | $275 | 0.61% |
| MICHAEL RAIMO3 | 21 JACKSON ST EAST ISLIP, NY 11730 | CONTINENTAL AMERICAN INSURANCE COMPANY | $263 | — | $263 | 0.58% |
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 | 162 | 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) | 162 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 162 | $888K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 207 | $81K |
| Other(2 contracts, 2 carriers) | GLOBE LIFE AND ACCIDENT INSURANCE COMPANY | 162 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 207 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.