| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE PGM INSURANCE SERVICES, LL | 311 CLOCK TOWER COMMONS BREWSTER, NY 06450 | UNITEDHEALTHCARE INSURANCE COMPANY | $8K | — | $8K | 10.98% |
| ACRISURE LLC3 Filed as: ACRISURE PGM INSURANCE SERVICES LLC | 311 CLOCK TOWER COMMONS BREWSTER, NY 10509 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $804 | $804 | 1.08% |
| PROFESSIONAL GROUP MARKETING INC3 | ATTN JEROME TEPPER HAWTHORNE, NY 10532 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | — | $3K | 8.60% |
| SOTERIA PARTNERS LLC3 | 4 CENTURY DRIVE PARSIPPANY, NJ 07054 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | $117 | $2K | 6.50% |
| WORKSITE WHEELHOUSE3 | 103-107 CHURCH STREET PHILADELPHIA, PA 19106 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | — | $2K | 5.49% |
| KEVIN MURPHY3 Filed as: KEVIN BROOKS | 97 ROCKLAND LANE SPRING VALLEY, NY 10977 | THE PAUL REVERE LIFE INSURANCE COMPANY | $539 | $46 | $585 | 1.56% |
| ACRISURE LLC3 Filed as: ACRISURE PGM INSURANCE SERVICES | 311 CLOCK TOWER COMMONS BREWSTER, NY 10509 | THE PAUL REVERE LIFE INSURANCE COMPANY | $385 | — | $385 | 1.03% |
| ABRAHAM OYEWO3 | 1039 EAST 227 STREET BRONX, NY 10466 | THE PAUL REVERE LIFE INSURANCE COMPANY | $296 | — | $296 | 0.79% |
| MEGAN Z CULVER3 | 3 GORING PLACE WAPPINGERS FALLS, NY 12590 | THE PAUL REVERE LIFE INSURANCE COMPANY | $285 | $9 | $294 | 0.78% |
| ZEBEST INC3 | 3 GORING PLACE WAPPINGERS FALLS, NY 12590 | THE PAUL REVERE LIFE INSURANCE COMPANY | $188 | — | $188 | 0.50% |
| EDWARD P DOUGHERTY INC3 | 4550 PRESTWICK DRIVE READING, PA 19606 | THE PAUL REVERE LIFE INSURANCE COMPANY | $142 | $13 | $155 | 0.41% |
| RODOVALDO RODRIGUEZ3 | 6606 GRANTON AVENUE A-6 NORTH BERGEN, NJ 07047 | THE PAUL REVERE LIFE INSURANCE COMPANY | $69 | — | $69 | 0.18% |
| JASON LOUIS KOSCO3 | 31 JESSE COURT MONTVILLE, NJ 07045 | THE PAUL REVERE LIFE INSURANCE COMPANY | $20 | — | $20 | 0.05% |
| HELEN DIZ-HATTON3 | 4 PALMER LANE ENGLISHTOWN, NJ 07726 | THE PAUL REVERE LIFE INSURANCE COMPANY | $18 | — | $18 | 0.05% |
| MICHELLE DARTEE3 | 12 MOONSHADOW COURT KINNELON, NJ 07405 | THE PAUL REVERE LIFE INSURANCE COMPANY | $15 | — | $15 | 0.04% |
| ALEXANDRA LLANO3 | 9 AFLRED PLACE LITTLE FERRY, NJ 07643 | THE PAUL REVERE LIFE INSURANCE COMPANY | $7 | — | $7 | 0.02% |
| PROFESSIONAL GROUP MARKET3 | 50 BROADWAY 2ND FLOOR HAWTHORNE, NY 10583 | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | $4K | — | $4K | 12.79% |
| ACRISURE LLC3 Filed as: ACRISURE PGM INSURANCE SERVICES, LL | 50 BROADWAY HAWTHORNE, NY 10532 | UNITEDHEALTHCARE INSURANCE COMPANY | $5K | — | $5K | 20.09% |
| PGM INSURANCE SERVICES, LLC3 Filed as: PGM GROUP NY | — | ALLYHEALTH LLC | $933 | — | $933 | 19.83% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA PGM | 50 BROADWAY 2ND FLOOR HAWTHORNE, NY 10583 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $264 | — | $264 | 10.00% |
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 | 170 | 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) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 264 | $74K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 264 | $74K |
| Life insurance(2 contracts, 2 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 148 | $64K |
| Short-term disability | THE PAUL REVERE LIFE INSURANCE COMPANY | 33 | $38K |
| Long-term disability(2 contracts, 2 carriers) | NEW YORK LIFE GROUP INSURANCE COMPANY OF NY | 148 | $30K |
| Other(3 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 148 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 264 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.