| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 7500 OLD GEORGETOWN ROAD SUITE 1225 BETHESDA, MD 20814 | KAISER FOUNDATION HEALTH PLAN INC | $491 | $0 | $491 | 0.02% |
| EMERSON REID LLC3 Filed as: EMERSON REID, LLC | 100 SUMMIT LAKE DRIVE, SUITE 10595 VALHALLA, NY 10595 | HARTFORD LIFE AND ACCIDENT | $0 | $58K | $58K | 7.43% |
| EMERSON REID LLC3 Filed as: EMERSON REID, LLC | 1305 WALT WHITMON ROAD, SUITE 310 MELVILLE, NY 11747 | HARTFORD LIFE AND ACCIDENT | $0 | $25K | $25K | 3.27% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 160 FEDERAL STREET, 4TH FLOOR BOSTON, MA 02110 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $10K | $0 | $10K | 3.74% |
| RISK STRATEGIES COMPANY3 | 700 AIRPORT BOULEVARD, SUITE 300 BURLINGAME, CA 94010 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $750 | $0 | $750 | 0.85% |
| JULIA A. BRUINSMA3 | 11901 SANTA MONICA BOULEVARD SUITE 689 LOS ANGELES, CA 90025 | AFLAC | $1K | $30 | $1K | 3.91% |
| ROCCO TUCCI JR.3 Filed as: ROCCO TUCCI, JR. AND OTHER AGENTS | 73 STETSON DRIVE MARLBOROUGH, MA 01752 | AFLAC | $924 | $14 | $938 | 2.68% |
| DAVID HERNANDEZ3 | 2239 WEST 190TH STREET TORRANCE, CA 90504 | AFLAC | $714 | $0 | $714 | 2.04% |
| STEVEN R. JOHNSON3 | 2239 WEST 190TH STREET TORRANCE, CA 90504 | AFLAC | $449 | $0 | $449 | 1.28% |
| SALLY COKER3 Filed as: SALLY INGRAM COKER | 38275 NORTH 103RD PLACE SCOTTSDALE, AZ 85262 | AFLAC | $284 | $0 | $284 | 0.81% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF-SAWYER & COMPANY | 220 BUSH STREET, 7TH FLOOR SAN FRANCISCO, CA 94104 | AFLAC | $239 | $0 | $239 | 0.68% |
| JOSEPH L. AGAGON3 | 3999 LEWIS AVENUE LONG BEACH, CA 90807 | AFLAC | $216 | $0 | $216 | 0.62% |
| ALBERT BRUCKNER3 | 3018 BROADWAY, APARTMENT 2E ASTORIA, NY 11106 | AFLAC | $191 | $0 | $191 | 8.34% |
| J DAVID AND ASSOCIATES INC3 Filed as: J. DAVID AND ASSOCIATES, INC. | 35 PINELAWN ROAD, SUITE 190 MELVILLE, NY 11747 | AFLAC | $103 | $0 | $103 | 4.50% |
| JACQUES P DAVID CORPORATION3 Filed as: JACQUES P. DAVID CORPORATION | 5 MONFORT DRIVE HUNTINGTON, NY 11743 | AFLAC | $54 | $0 | $54 | 2.36% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER CORPORATION | 19 MARKWOOD ROAD GARDEN CITY, NY 11530 | AFLAC | $19 | $0 | $19 | 0.83% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $3 | $0 | $3 | 0.13% |
| TODD J BURKE CORP3 Filed as: TODD J. BURKE CORPORATION | 40 MAXWELL ROAD GARDEN CITY, NY 11530 | AFLAC | $3 | $0 | $3 | 0.13% |
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 | 2,228 | 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) | 2,228 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 3,526 | $2.8M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 3,526 | $661K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 3,526 | $661K |
| Life insurance(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 2,228 | $813K |
| Short-term disability(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,503 | $222K |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 2,503 | $960K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 3,526 | $2.8M |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 3,526 | $661K |
| Other(4 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 2,228 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,526 | — |
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.