| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES P. REAGAN AGENCY, INC.3 Filed as: JAMES P. REAGAN AGENCY | P.O. BOX 131 MARCELLUS, NY 13108 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $3K | — | $3K | 3.85% |
| ENROLLEASE3 Filed as: JAEGER & FLYNN ASSOCIATES, INC. | 30 CORPORATE DRIVE CLIFTON PARK, NY 12065 | EMPIRE HEALTHCHOICE ASSURANCE, INC. | $15 | — | $15 | 0.02% |
| DANIELLE M BRANCATO HOUSE3 Filed as: DANIELLE M. BRANCATO HOUSE | 4 CRESTMONT DRIVE CLIFTON PARK, NY 12065 | AFLAC | $390 | $4 | $394 | 2.49% |
| JANICE MOSES AONDONA3 | 2009 MORROW AVENUE SCHENECTADY, NY 12309 | AFLAC | $249 | — | $249 | 1.57% |
| BETH SERFILIPPI3 | 8 HILLSTONE COURT BALLSTON LAKE, NY 12019 | AFLAC | $205 | — | $205 | 1.30% |
| BENITO A ROTONDI II INC3 Filed as: BENITO A. ROTONDI II, INC. | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $195 | — | $195 | 1.23% |
| GROE INC3 Filed as: GROE, INC. | 108 JACKSON STREET APT. 3D HOBOKEN, NJ 07030 | AFLAC | $121 | $35 | $156 | 0.99% |
| STEVE J. BOXLEY3 | 22 WESTBURY DRIVE SARATOGA SPRINGS, NY 12866 | AFLAC | $109 | — | $109 | 0.69% |
| KRISTA ANNE ROTONDI3 | 5 PINE WEST PLAZA SUTIE 503 ALBANY, NY 12205 | AFLAC | $93 | $4 | $97 | 0.61% |
| MICHAEL LEFFLER3 | P.O. BOX 27 SAUGERTIES, NY 12477 | AFLAC | $89 | — | $89 | 0.56% |
| STASH WOJESKI3 | P.O. BOX 960 NORTH CHATHAM, NY 12132 | AFLAC | $81 | — | $81 | 0.51% |
| LISA J BRENNAN-JONES3 Filed as: LISA J. BRENNAN-JONES | 1014 CATHERINE WOODS SCHENECTADY, NY 12309 | AFLAC | $71 | — | $71 | 0.45% |
| MICHAEL MURPHY3 | 158 SAINT JOHNS DRIVE ROCHESTER, NY 14626 | AFLAC | $68 | — | $68 | 0.43% |
| CHERYL A ROTONDI3 Filed as: CHERYL A. ROTONDI | 352 USHERS ROAD BALLSTON LAKE, NY 12019 | AFLAC | $61 | — | $61 | 0.39% |
| CHERYL A ROTONDI3 Filed as: CHERYL A. ROTONDI | 352 USHERS ROAD BALLSTON LAKE, NY 12019 | AFLAC | $40 | $19 | $59 | 0.37% |
| ANTONETTE T WOJESKI3 Filed as: ANTONETTE T. WOJESKI | P.O. BOX 960 NORTH CHATHAM, NY 12132 | AFLAC | $55 | — | $55 | 0.35% |
| ELLEN REYNOLDS3 | 11 JAMES STREET FAIRPORT, NY 14450 | AFLAC | $50 | — | $50 | 0.32% |
| DEBORAH KRETSCHMER3 | 16 AUGUSTA DRIVE UNIT 2 VERNON, NJ 07462 | AFLAC | $46 | — | $46 | 0.29% |
| FREDERICK BOCCARD3 | 9 BIRCHWOOD COURT WASHINGTONVILLE, NY 10992 | AFLAC | $39 | — | $39 | 0.25% |
| JANINE FOX3 Filed as: JANINE M. FOX | 18 HAVILAND DRIVE SCHENECTADY, NY 12302 | AFLAC | $37 | — | $37 | 0.23% |
| JENNIFER DICK3 | 891 BABCOCK LAKE ROAD PETERSBURG, NY 12138 | AFLAC | $32 | — | $32 | 0.20% |
| SUSAN M TODD-BEDELL3 Filed as: SUSAN M. TODD BEDELL | 249 N. BALLSTON AVENUE SCOTIA, NY 12302 | AFLAC | $28 | — | $28 | 0.18% |
| HENRY A. HOWARD3 | 47 A SPRING STREET ROAD ALBANY, NY 12211 | AFLAC | $27 | — | $27 | 0.17% |
| JEFF DALABA3 | 8500 GILLY FLOWER COURT BALDWINSVILLE, NY 13027 | AFLAC | $26 | — | $26 | 0.16% |
| PERRY E MEDINA3 Filed as: PERRY E. MEDINA | 30 DOROTHY DRIVE MONROE, NY 10950 | AFLAC | $25 | — | $25 | 0.16% |
| DOUGLAS MEIER3 Filed as: DOUGLAS R. MEIER | 23 ROCKLEDGE TERRACE POMPTON PLAINS, NJ 07444 | AFLAC | $19 | $6 | $25 | 0.16% |
| ROBERT J. RENNICK3 | 11407 BAGGOT AVENUE ENGLEWOOD, FL 34224 | AFLAC | $24 | — | $24 | 0.15% |
| JOSEPH P CALARCO3 Filed as: JOSEPH P. CALARCO | 63 GENESEE STREET SUITE 2, P.O. BOX 130 AUBURN, NY 13021 | AFLAC | $23 | — | $23 | 0.15% |
| JOHN T SHELDON3 Filed as: JOHN T. SHELDON | 206 LAWRENCE AVENUE #2 SYRACUSE, NY 13212 | AFLAC | $21 | — | $21 | 0.13% |
| PAUL SAMUEL OWENS3 Filed as: PAUL SANUEL OWENS | 279 RIVER STREET ROCHESTER, NY 14612 | AFLAC | $20 | — | $20 | 0.13% |
| JOAN BUTLER3 | 1971 WESTERN AVENUE SUITE 3 #162 ALBANY, NY 12203 | AFLAC | $20 | — | $20 | 0.13% |
| SUSAN CHILLE3 Filed as: SUSAN E. CHILLE | 12 SAINT THOMAS MORE DRIVE WINCHESTER, MA 01890 | AFLAC | $19 | — | $19 | 0.12% |
| RUSSELL T BARRETT3 Filed as: RUSSELL T. BARRETT | 10 AZALEA DRIVE SARATOGA SPRINGS, NY 12866 | AFLAC | $18 | — | $18 | 0.11% |
| LORELIE PALACIO3 Filed as: LORELIE MANAPAT PALACIO | 951 LAKES ROAD MONROE, NY 10950 | AFLAC | $16 | — | $16 | 0.10% |
| BRAD JONES AND ASSOCIATES INC3 Filed as: BRAD JONES AND ASSOCIATES, INC. | 19 BRITISH AMERICAN BOULEVARD LATHAM, NY 12110 | AFLAC | $15 | — | $15 | 0.09% |
| MCINERNEY GROUP LLC3 Filed as: MCINERNEY GROUP, LLC | 580 WHITE PLAINS ROAD SUITE 115 TARRYTOWN, NY 10591 | AFLAC | $15 | — | $15 | 0.09% |
| GERALD DE SOUZA3 Filed as: GERALD A. DESOUZA | 7375 SPRING MOUNTAIN DRIVE EAST SYRACUSE, NY 13057 | AFLAC | $15 | — | $15 | 0.09% |
| NICHOLAS MCELROY3 | P.O. BOX 1068 MONROE, NY 10949 | AFLAC | $14 | — | $14 | 0.09% |
| SEFCU ASSET MGMT SERV/TBA SEFCU INS3 Filed as: SEFCU ASSET MANAGEMENT SERVICES | TBA SEFCU INSURANCE 469 STATE STREET SCHENECTADY, NY 12305 | AFLAC | $13 | — | $13 | 0.08% |
| W E BRENNAN INC3 Filed as: W.E. BRENNAN, INC. | 5 CORPORATE DRIVE SUITE 104 CENTRAL VALLEY, NY 10917 | AFLAC | $11 | — | $11 | 0.07% |
| DANIEL P DUPRE3 Filed as: DANIEL P. DUPRE | 4 BEDFORD WAY PITTSFORD, NY 14534 | AFLAC | $9 | — | $9 | 0.06% |
| DARRYL J YOUNG3 Filed as: DARRYL J. YOUNG | 3820 GOLD CITY ROAD FRANKLIN, KY 42134 | AFLAC | $9 | — | $9 | 0.06% |
| JASON SCZEPANIAK3 Filed as: JASON HARTMAN | 225 DOLSON AVENUE SUITE 304 MIDDLETOWN, NY 10940 | AFLAC | $8 | — | $8 | 0.05% |
| KEVIN MCCARTHY3 | 197 LANG DRIVE NORTH KINGSTOWN, RI 02852 | AFLAC | $6 | — | $6 | 0.04% |
| BRENDAN MCCARTHY AND CREW INC3 Filed as: BRENDAN MCCARTHY AND CREW, INC. | 1411 CHILI AVENUE, SUITE 3 ROCHESTER, NY 14624 | AFLAC | $6 | — | $6 | 0.04% |
| GREGORY D GEMEREK3 Filed as: GREGORY D. GEMEREK | 25 CARRIAGE WAY BALLSTON SPA, NY 12020 | AFLAC | $5 | — | $5 | 0.03% |
| STARTING LINE SOLUTIONS INC3 Filed as: STARTING LINE SOLUTIONS, INC. | 279 RIVER STREET ROCHESTER, NY 14612 | AFLAC | $5 | — | $5 | 0.03% |
| KELLY A IRVINE3 Filed as: KELLY A. IRVINE | 20620 EAST GOLDEN ELM DRIVE ESTERO, FL 33928 | AFLAC | $5 | — | $5 | 0.03% |
| LAURIE L SMITH3 Filed as: LAURIE L. SMITH | 577 TRUESDALE HILL ROAD LAKE GEORGE, NY 12845 | AFLAC | $4 | — | $4 | 0.03% |
| EDWARD D YATES JR3 Filed as: EDWARD D. YATES, JR. | 2063 COUNTY ROUTE 8 OSWEGO, NY 13126 | AFLAC | $4 | — | $4 | 0.03% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK R. SIRACUSA | 225 DOLSON AVENUE SUITE 304 MIDDLETOWN, NY 10940 | AFLAC | $4 | — | $4 | 0.03% |
| BRENDAN MCCARTHY AND CREW INC3 Filed as: BRENDAN MCCARTHY AND CREW, INC. | 39 SAGINAW DRIVE SUITE 2 ROCHESTER, NY 14623 | AFLAC | $4 | — | $4 | 0.03% |
| DUCK & COVER NY INC3 Filed as: DUCK & COVER NY, INC. | 17 DALAMAR COURT LATHAM, NY 12110 | AFLAC | $3 | — | $3 | 0.02% |
| TOMAS E FLORES3 Filed as: TOMAS E. FLORES | 1265 15TH STREET APT. 16G FORT LEE, NJ 07024 | AFLAC | $3 | — | $3 | 0.02% |
| LEWIS K GATHRIGHT JR3 Filed as: LEWIS K. GATHRIGHT, JR. | 276 FAIRPORT VILLAGE LANDING FAIRPORT, NY 14450 | AFLAC | $3 | — | $3 | 0.02% |
| AMY WARNER3 | 10 LAKE STREET 2ND FLOOR MONROE, NY 10950 | AFLAC | $3 | — | $3 | 0.02% |
| W E BRENNAN INC3 Filed as: W.E. BRENNAN, INC. | 5 CORPORATE DRIVE SUITE 104 CENTRAL VALLEY, NY 10917 | AFLAC | $3 | — | $3 | 0.02% |
| SUSAN C BRIMHALL3 Filed as: SUSAN C. BRIMHALL | 3921 CAPE SAN BLAS ROAD PORT SAINT JOE, FL 32456 | AFLAC | $2 | — | $2 | 0.01% |
| LEWIS K GATHRIGHT JR3 Filed as: LEWIS K. GATHRIGHT, JR. | 276 FAIRPORT VILLAGE LANDING FAIRPORT, NY 14450 | AFLAC | $2 | — | $2 | 0.01% |
| MELISSA ANN STEWART3 | 36 WINCOMA LANE QUEENSBURY, NY 12804 | AFLAC | $2 | — | $2 | 0.01% |
| AMY WARNER3 | 10 LAKE STREET 2ND FLOOR MONROE, NY 10950 | AFLAC | $2 | — | $2 | 0.01% |
| LAURA BOHANNON3 | 23 S. MARVINE AVENUE AUBURN, NY 13021 | AFLAC | $2 | — | $2 | 0.01% |
| WILLIAM E BRENNAN3 Filed as: WILLIAM E. BRENNAN | P.O. BOX 311 SOUTHFIELDS, NY 10975 | AFLAC | $1 | — | $1 | 0.01% |
| MELISA SCHOFIELD3 | 932 E. VOLK LANE MIDDLETOWN, CT 06457 | AFLAC | $1 | — | $1 | 0.01% |
| DOMINICK R SIRACUSA3 Filed as: DOMINICK R. SIRACUSA | 225 DOLSON AVENUE SUITE 304 MIDDLETOWN, NY 10940 | AFLAC | $1 | — | $1 | 0.01% |
| DANIEL C. JUDGE3 | 58 MANSER DRIVE AFLAC NY CW AMHERST, NY 14226 | AFLAC | $1 | — | $1 | 0.01% |
| KEVIN MURPHY3 | 11 WILLOWBROOK TERRACE CLIFTON PARK, NY 12065 | AFLAC | $1 | — | $1 | 0.01% |
| KENNETH J HANNAN3 Filed as: KENNETH J. HANNAN | 5 FRIAR TUCK COURT CLIFTON PARK, NY 12065 | AFLAC | $1 | — | $1 | 0.01% |
| KEVIN MURPHY3 | 11 WILLOWBROOK TERRACE CLIFTON PARK, NY 12065 | AFLAC | $1 | — | $1 | 0.01% |
| JAMES P. REAGAN AGENCY, INC.3 Filed as: JAMES P. REAGAN AGENCY | P.O. BOX 131 MARCELLUS, NY 13108 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | $2K | — | $2K | 13.26% |
| BRUCE R ROWLANDS3 Filed as: BRUCE R. ROWLANDS | 6 TOWER PLACE ALBANY, NY 12203 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | — | $166 | $166 | 1.24% |
| ENROLLEASE3 Filed as: JAEGER & FLYNN ASSOCIATES, INC. | 30 CORPORATE DRIVE CLIFTON PARK, NY 12065 | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | -$110 | — | -$110 | -0.82% |
| JAMES P. REAGAN AGENCY, INC.3 | P.O. BOX 191 MARCELLUS, NY 13108 | MUTUAL OF OMAHA INSURANCE COMPANY | $750 | — | $750 | 10.00% |
| JAMES P. REAGAN AGENCY, INC.3 | P.O. BOX 191 MARCELLUS, NY 13108 | MUTUAL OF OMAHA INSURANCE COMPANY | $1K | — | $1K | 14.99% |
| KRYSTAL L ELLISON3 Filed as: KRYSTAL L. ELLISON | 3804 COTSWOLD AVENUE APT. A GREENSBORO, NC 27410 | AFLAC | $227 | $3 | $230 | 3.43% |
| JOHN ALLISON3 Filed as: JOHN R. ALLISON | 5710 W. GATE CITY BOULEVARD SUITE K GREENSBORO, NC 27407 | AFLAC | $192 | — | $192 | 2.86% |
| DANIELLE M BRANCATO HOUSE3 Filed as: DANIELLE M. BRANCATO-HOUSE | 4 CRESTMONT DRIVE CLIFTON PARK, NY 12065 | AFLAC | $142 | — | $142 | 2.12% |
| BENITO A ROTONDI II INC3 Filed as: BENITO A. ROTONDI II | 23 PINE RIDGE ROAD SARATOGA SPRINGS, NY 12866 | AFLAC | $109 | — | $109 | 1.63% |
| CHUCK MARTIN & ASSOC INC3 Filed as: CHUCK MARTIN & ASSOCIATES, INC. | 2008 SMOKERIDGE LANE GREENSBORO, NC 27407 | AFLAC | $49 | — | $49 | 0.73% |
| JOHN ARIANSEN3 Filed as: JOHN D. ARIANSEN | P.O. BOX 18214 GREENSBORO, NC 27419 | AFLAC | $44 | — | $44 | 0.66% |
| KRISTA ANNE ROTONDI3 | 5 PINE WEST PLAZA SUITE 503 ALBANY, NY 12205 | AFLAC | $41 | — | $41 | 0.61% |
| GEORGE J ROE3 Filed as: GEORGE J. ROE | 72 GARDEN STREET APT. 6 HOBOKEN, NJ 07030 | AFLAC | $23 | $5 | $28 | 0.42% |
| TRACI R BATTEN3 Filed as: TRACI R. BATTEN | 216 W. MAITLAND BOULEVARD MAITLAND, FL 32751 | AFLAC | $26 | — | $26 | 0.39% |
| JOHNNY G. KONTOULAS3 | 4815 WINFORD ROAD GREENSBORO, NC 27407 | AFLAC | $23 | — | $23 | 0.34% |
| GEORGE J ROE3 Filed as: GEORGE J. ROE | 108 JACKSON STREET APT. 3D HOBOKEN, NJ 07030 | AFLAC | $21 | — | $21 | 0.31% |
| DAVID M. BLAIR3 | 1589 SKEET CLUB ROAD SUITE 102 HIGH POINT, NC 27265 | AFLAC | $15 | — | $15 | 0.22% |
| JAMES S BELL3 Filed as: JAMES S. BELL | 607 TEXAS AVENUE BURLINGTON, NC 27217 | AFLAC | $12 | — | $12 | 0.18% |
| MELISSA ANN STEWART3 | 36 WINCOMA LANE QUEENSBURY, NY 12804 | AFLAC | $8 | — | $8 | 0.12% |
| DOUGLAS MEIER3 | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $7 | $1 | $8 | 0.12% |
| JEFFREY R HARDY3 Filed as: JEFFREY R. HARDY | 6100 BLACK WILLOW DRIVE GREENSBORO, NC 27405 | AFLAC | $4 | $3 | $7 | 0.10% |
| JAMES S BELL3 Filed as: JAMES S. BELL | 4526 ALAMANCE CHURCH ROAD LIBERTY, NC 27298 | AFLAC | $6 | — | $6 | 0.09% |
| C HARVEY KING3 Filed as: C. HARVEY KING | 931-B SOUTH MAIN STREET #206 KERNERSVILLE, NC 27284 | AFLAC | $6 | — | $6 | 0.09% |
| KELLY LEBSACK3 Filed as: KELLY D. LEBSACK | 826 N. ELM STREET GREENSBORO, NC 27401 | AFLAC | $4 | $1 | $5 | 0.07% |
| J MICHAEL BUTLER3 Filed as: J. MICHAEL BUTLER | 1090 13TH AVENUE NW HICKORY, NC 28601 | AFLAC | $4 | — | $4 | 0.06% |
| C HARVEY KING3 Filed as: C. HARVEY KING | 931 S. MAIN STREET SUITE B #206 KERNERSVILLE, NC 27284 | AFLAC | $4 | — | $4 | 0.06% |
| SUSAN C BRIMHALL3 Filed as: SUSAN C. BRIMHALL | P.O. BOX 336 SMITHS STATION, AL 36877 | AFLAC | $4 | — | $4 | 0.06% |
| KELLY LEBSACK3 Filed as: KELLY D. LEBSACK | 823 N. ELM STREET GREENSBORO, NC 27401 | AFLAC | $3 | — | $3 | 0.04% |
| THOMAS E HATCHER JR3 Filed as: THOMAS E. HATCHER, JR. | 1588 BAYTREE DRIVE HARRELLS, NC 28444 | AFLAC | $2 | $1 | $3 | 0.04% |
| BRADLEY S JONES3 Filed as: BRADLEY S. JONES | 19 BRITISH AMERICAN BOULEVARD W. LATHAM, NY 12110 | AFLAC | $2 | — | $2 | 0.03% |
| LISA J BRENNAN-JONES3 Filed as: LISA J. BRENNAN JONES | 1014 CATHERINE WOODS SCHENECTADY, NY 12309 | AFLAC | $2 | — | $2 | 0.03% |
| FRANKLIN TRAVIS BLACK3 | 5981 WOODFIELD DRIVE KERNERSVILLE, NC 27284 | AFLAC | $1 | — | $1 | 0.01% |
| JONI K. DELELLIS3 | 327 JOHNSON ROAD HIGH POINT, NC 27265 | AFLAC | $1 | — | $1 | 0.01% |
| RUSSELL TINNEY3 | 3440 TORRINGTON WAY APT. 7 SUITE 101 FAYETTEVILLE, NC 28314 | AFLAC | $1 | — | $1 | 0.01% |
| JAMES R HILL JR3 Filed as: JAMES R. HILL, JR. | P.O. BOX 13272 GREENSBORO, NC 27415 | AFLAC | $1 | — | $1 | 0.01% |
| GREGORY D HILL3 Filed as: GREGORY D. HILL | 16142 SWALLOWTAIL PLACE MIDLOTHIAN, VA 23113 | AFLAC | $1 | — | $1 | 0.01% |
| KELLY A IRVINE3 Filed as: KELLY ANNE IRVIN | 20620 EAST GOLDEN ELM DRIVE ESTERO, FL 33928 | AFLAC | $1 | — | $1 | 0.01% |
| KEVIN MURPHY3 | 11 WILLOWBROOK TERRACE CLIFTON PARK, NY 12065 | AFLAC | $1 | — | $1 | 0.01% |
| KELLY LEBSACK3 Filed as: KELLY D. LEBSACK | 826 NORTH ELM STREET GREENSBORO, NC 27401 | AFLAC | $1 | — | $1 | 0.01% |
| RUSSELL TINNEY3 | 11520 NUCKOLS ROAD SUITE 103 SUITE 101 GLEN ALLEN, VA 23059 | AFLAC | $1 | — | $1 | 0.01% |
| ELIZABETH CUSHING3 | 74 TRESTLE LEAF PITTSBORO, NC 27312 | AFLAC | $1 | — | $1 | 0.01% |
| MEGHAN MOFFATT LUCAS3 Filed as: MEGHAN M. MILLER | 6631 FOX RIDGE CIRCLE DAVIDSON, NC 28036 | AFLAC | $1 | — | $1 | 0.01% |
| RACHEL E HUSE3 Filed as: RACHEL E. HUSE | 3919 WATFORD WAY FAYETTEVILLE, NC 28306 | AFLAC | $1 | — | $1 | 0.01% |
| ERIC BROGAN3 Filed as: ERIC E. MILLER | 6631 FOX RIDGE CIRCLE DAVIDSON, NC 28036 | AFLAC | $1 | — | $1 | 0.01% |
| ALFRED E DEVINE3 Filed as: ALFRED E. DEVINE | 324 DEVINE WAY SILER CITY, NC 27344 | AFLAC | $1 | — | $1 | 0.01% |
| DEBORAH A WITHEY3 Filed as: DEBORAH A. WITHEY | 2149 6TH STREET NW HICKORY, NC 28601 | AFLAC | $1 | — | $1 | 0.01% |
| KATRINA D AIKEN3 Filed as: KATRINA D. AIKEN | 2511 JUDITH STREET LYNCHBURG, VA 24501 | AFLAC | $1 | — | $1 | 0.01% |
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 | 178 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 178 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 177 | $71K |
| Dental | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 177 | $71K |
| Vision | EMPIRE HEALTHCHOICE ASSURANCE, INC. | 177 | $71K |
| Life insurance | ANTHEM LIFE & DISABILITY INSURANCE COMPANY | 146 | $13K |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 36 | $8K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 18 | $7K |
| Other(3 contracts, 2 carriers) | AFLAC | 146 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 177 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.