| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 320 WEST 57TH STREET NEW YORK, NY 10019 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $8K | $8K | 2.56% |
| MCO PARTNERS LLC3 | 315 WEST 39TH STREET, SUITE 303 NEW YORK, NY 10018 | THE PAUL REVERE LIFE INSURANCE COMPANY | $14K | $4K | $18K | 10.95% |
| ALLIANT INSURANCE SERVICES, INC.3 | 320 WEST 57TH STREET NEW YORK, NY 10019 | THE PAUL REVERE LIFE INSURANCE COMPANY | $15K | $0 | $15K | 9.29% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL AND VARIOUS AGENTS | 100 SUNNYSIDE BOULEVARD WOODBURY, NY 11797 | THE PAUL REVERE LIFE INSURANCE COMPANY | $7K | $622 | $7K | 4.39% |
| EMANUEL JULIAN ASURZA3 Filed as: EMANUEL ASURZA | 10445 ATLANTIC AVENUE RICHMOND HILL, NY 11418 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | $1K | $5K | 2.82% |
| JOHN PATRCIK ALEXIS3 Filed as: JOHN ALEXIS | 584 SOUTH BAY VIEW AVENUE FREEPORT, NY 11520 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | $1K | $4K | 2.63% |
| CHEMALY BELIZAIRE3 | 17 ROSE STREET BROOKLYN, NY 11236 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | $0 | $3K | 1.91% |
| EDUARDO LONDONO AND OTHER AGENTS3 Filed as: EDUARDO LONDONO | 2586 BURRO LANE EAST MEADOW, NY 11554 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | $0 | $3K | 1.76% |
| ALLIANT INSURANCE SERVICES, INC.3 | 320 WEST 57TH STREET NEW YORK, NY 10019 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15K | $8K | $22K | 18.67% |
| MCO PARTNERS LLC3 | 315 WEST 39TH STREET, SUITE 303 NEW YORK, NY 10018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | $7K | $16K | 13.84% |
| MJ INSURANCE3 Filed as: PAMELA LEVY AND VARIOUS AGENTS | 150 50TH AVENUE LONG ISLAND CITY, NY 11101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $788 | $7K | 5.70% |
| ARTURO BANUELOS3 | 1140 MADISON VIEW DRIVE APARTMENT 208 FOREST, VA 24551 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $456 | $2K | 1.75% |
| DEBORAH FORD WILSON3 Filed as: DEBORAH WILSON | 8219 QUAIL HOLLOW DRIVE HARRISBURG, NC 28075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 1.74% |
| GREGORY PITTS3 | 404 FAIRHAVEN COURT STOCKBRIDGE, GA 30281 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $39 | $2K | 1.61% |
| TIFFANY BORDERS3 | 1877 DAYRON TERRACE MARIETTA, GA 30062 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $124 | $2K | 1.27% |
| ALLIANT INSURANCE SERVICES, INC.3 | 101 PARK AVENUE, 14TH FLOOR NEW YORK, NY 10178 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $3K | $3K | 2.75% |
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 | 384 | 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) | 384 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 348 | $307K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 348 | $307K |
| Life insurance(3 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 384 | $400K |
| Short-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 384 | $118K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 384 | $118K |
| Other(3 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 384 | $400K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 384 | — |
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.