| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | 5000 DEARBORN CIRCLE SUITE 100 MOUNT LAUREL, NJ 08054 | AETNA LIFE INSURANCE COMPANY | $77K | $92 | $77K | 4.38% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: CORPORATE SYNERGIES GROUP, LLC | PO BOX 654118 DALLAS, TX 75265 | HARTFORD LIFE AND ACCIDENT | $4K | $0 | $4K | 10.93% |
| CHRISTIAN M TULLY3 Filed as: CHRISTIAN TULLY | 1062 5TH AVENUE EAST NORTHORIT, NY 11731 | AFLAC | $417 | $20 | $437 | 4.02% |
| RICHARD PETERSON3 | 141074 20TH AVENUE SUTIE 11357 WHITESTONE, NY 11357 | AFLAC | $318 | $10 | $328 | 3.02% |
| USI INSURANCE SERVICES LLC Filed as: USI INS. SVCS. AND VARIOUS AGENTS | 190 RIVER ROAD SUMMIT, NJ 07901 | AFLAC | $232 | $0 | $232 | 2.14% |
| JACQUES P DAVID CORPORATION3 Filed as: JACQUES P. DAVED CORPORATEION | 125 JERICHO TURNPIKE SUITE 201 JERICHO, NY 11753 | AFLAC | $108 | $0 | $108 | 0.99% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER CORPORATION | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $67 | $0 | $67 | 0.62% |
| GISEL MORILLO3 | 5835 GRANGER STREET APARTMENT 4B CORONA, NY 11368 | AFLAC | $34 | $22 | $56 | 0.52% |
| KENNETH C MEIER CORP Filed as: KENNETH C. MEIER CORPORATION | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $37 | $0 | $37 | 0.34% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: REUBEN WARNER ASSOCIATES INC. | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | BERKLEY LIFE AND HEALTH INSURANCE COMPANY | $0 | $2K | $2K | 20.00% |
| ROSENNA CONSULTING3 | UNKNOWN NEW YORK, NY 10005 | BERKLEY LIFE AND HEALTH INSURANCE COMPANY | $1K | $0 | $1K | 15.00% |
| PATRICIA COOLEY3 | 22805 SE 271ST PLACE MAPLE VALLEY, WA 98038 | AFLAC | $58 | $0 | $58 | 3.53% |
| DANA L FREY3 Filed as: DANA FREY | 7127 HIDDEN BALLEY LANE SOUTH COTTAGE GROVE, MN 55016 | AFLAC | $41 | $0 | $41 | 2.50% |
| TODD BURKE | 1 SEAPORT PLAZA 23RD FLOOR NEW YORK, NY 10038 | AFLAC | $39 | $0 | $39 | 2.38% |
| CAROL D KAPSEN3 Filed as: CAROL KAPSEN | 6600 SCANDIA ROAD EDINA, MN 55439 | AFLAC | $22 | $0 | $22 | 1.34% |
| MJ INSURANCE3 Filed as: JEFFREY HANSEN AND VARIOUS AGENTS | 1895 52ND STREET SW PEQUOT LAKES, MN 56472 | AFLAC | $12 | $0 | $12 | 0.73% |
| WENDY RENARD3 | 24133 FAWN COURT NE STACY, MN 55079 | AFLAC | $11 | $0 | $11 | 0.67% |
| TREVOR NORENBERG3 | 6529 SAHALEE COURT RAPID CITY, SD 57702 | AFLAC | $11 | $0 | $11 | 0.67% |
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 | 204 | 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) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 430 | $1.8M |
| Dental | AETNA LIFE INSURANCE COMPANY | 430 | $1.8M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 204 | $39K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 204 | $39K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 430 | $1.8M |
| Other(4 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 204 | $61K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 430 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.