| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FARMINGTON COMPANY INS. SERVICES3 | 30 WATERSIDE DRIVE 527 FARMINGTON, CT 06032 | AFLAC | $2K | $0 | $2K | 13.52% |
| LOUIS FAIOLA3 | 12 HAAWK COURT DELMAR, NY 12054 | AFLAC | $116 | $0 | $116 | 0.67% |
| MICHAEL USIAK3 | 250 E MAIN STREET 2ND FLOOR CLINTON, CT 06413 | AFLAC | $50 | $0 | $50 | 0.29% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C MEIER | 401 FRANKLIN AVENUE SUITE 312 MINEOLA, NY 11501 | AFLAC | $48 | $0 | $48 | 0.28% |
| MICHAEL REYES3 | 185 PLAINS ROAD SUITE 312 MILFORD, CT 06461 | AFLAC | $28 | $0 | $28 | 0.16% |
| TRECIA J BRADY3 | 71 NUTMEG COURT MIDDLETOWN, CT 06457 | AFLAC | $23 | $0 | $23 | 0.13% |
| MATTHEW G BERGER3 Filed as: MATTHEW BERGER | 22 SUNNYRIDGE ROAD 4TH FLOOR PHILADELPHIA, PA 19125 | AFLAC | $4 | $0 | $4 | 0.02% |
| THE FARMINGTON COMPANY3 | PO BOX 527 FARMINGTON, CT 06034 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $643 | $0 | $643 | 6.39% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $294 | $0 | $294 | 2.92% |
| DEBORAH JEANNE RABINOVICH3 | 30 WATERSIDE DRIVE FARMINGTON, CT 06032 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $157 | $0 | $157 | 1.56% |
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 | 997 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,015 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 721 | $70K |
| Other(2 contracts, 2 carriers) | AFLAC | 34 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 721 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.