| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 101 PARK AVENUE, 14TH FLOOR NEW YORK, NY 10178 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 2.22% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET SAN DIEGO, CA 92101 | THE PAUL REVERE LIFE INSURANCE COMPANY | $15K | $0 | $15K | 9.18% |
| MCO PARTNERS LLC3 Filed as: MCO PARTNERS, LLC | 549 BORDEN AVENUE, SUITE 9J LONG ISLAND CITY, NY 11101 | THE PAUL REVERE LIFE INSURANCE COMPANY | $8K | $3K | $12K | 6.96% |
| EDUARDO LONDONO AND OTHER AGENTS3 | 2586 BURRO LANE EAST MEADOW, NY 11554 | THE PAUL REVERE LIFE INSURANCE COMPANY | $4K | $150 | $4K | 2.39% |
| JOHN PATRCIK ALEXIS3 | 584 SOUTH BAY VIEW AVENUE FREEPORT, NY 11520 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | $0 | $3K | 1.81% |
| WILMINE GUSTAMA3 | 938 JACKSON STREET BALDWIN, NY 11510 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | $484 | $2K | 1.24% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL LIMITED | 401 BROADHOLLOW ROAD MELVILLE, NY 11747 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 0.99% |
| EMANUAL JULIAN ASURZA3 | 10445 ATLANTIC AVENUE RICHMOND HILL, NY 11418 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $541 | $2K | 0.94% |
| ALLIANT INSURANCE SERVICES, INC.3 | 101 PARK AVENUE, 14TH FLOOR NEW YORK, NY 10178 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.98% |
| MCO PARTNERS LLC3 Filed as: MCO PARTNERS, LLC | 549 BORDEN AVENUE, SUITE 9J LONG ISLAND CITY, NY 11101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $8K | $15K | — |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET SAN DIEGO, CA 92101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12K | $3K | $15K | — |
| ARTURO BANUELOS3 Filed as: ARTURO BANUELOS AND OTHER AGENTS | 1140 MADISON VIEW DRIVE APARTMENT 208 FOREST, VA 24551 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $412 | $4K | — |
| JACK ALLEN NORRIS3 | 2439 DUTCH BRANCH ROAD COLUMBIA, SC 29210 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $914 | $3K | — |
| FULVIO A. ACOSTA3 | 15017 WORTHINGTON ROAD PHILADELPHIA, PA 19116 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $216 | $2K | — |
| PAMELA SUSAN LEVY3 | 150 50TH AVENUE LONG ISLABD CITY, NY 11101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $164 | $1K | — |
| DRUSILLA ROBERTSON3 | 678 WARBURTON AVENUE, APARTMENT 7C YONKERS, NY 10018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $550 | $62 | $612 | — |
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 | 395 | 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) | 395 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 219 | $199K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 219 | $199K |
| Life insurance(3 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 395 | $249K |
| Short-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 395 | $80K |
| Long-term disability | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 395 | $80K |
| Other(3 contracts, 3 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 395 | $249K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 395 | — |
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.