| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 1689 CONCORD, CA 94524 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $13K | $169K | $182K | 2.57% |
| CORPORATE SYNERGIES GROUP LLC3 Filed as: COPORATE SYNERGIES GROUP LLC | 2 AQUARIUM DR STE 200 CAMDEN, NJ 08103 | SYMETRA LIFE INSURANCE COMPANY | $43K | $20K | $63K | 12.94% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD STE 675 BOCA RATON, FL 33432 | SYMETRA LIFE INSURANCE COMPANY | $10K | — | $10K | 2.12% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE WALSH | 255 W NECK RD HUNTINGTON, NY 11743 | AFLAC | $5K | $16 | $5K | 24.88% |
| JACQUES P DAVID CORPORATION3 | 5 MONFORT DR HUNTINGTON, NY 11743 | AFLAC | $741 | $4 | $745 | 3.55% |
| KIRSTEN E WALSH3 | 112 NORWOOD AVE NORTHPORT, NY 11768 | AFLAC | $105 | — | $105 | 0.50% |
| DONALD BUDDE3 | 16 RIVERSIDE UNIT A AMITYVILLE, NY 11701 | AFLAC | $69 | — | $69 | 0.33% |
| ROGER W BORSETT3 | 1999 OAKLAND AVE WANTAGH, NY 11793 | AFLAC | $27 | — | $27 | 0.13% |
| EDWIN O'CONNOR3 | 22 FAIRVIEW RD W MASSAPEQUA, NY 11758 | AFLAC | $24 | — | $24 | 0.11% |
| KENNETH C MEIER CORP3 | 19 MARKWOOD RD GARDEN CITY, NY 11530 | AFLAC | $10 | — | $10 | 0.05% |
| TOOD BURKE3 | 199 WATER ST FL 23 NEW YORK, NY 10038 | AFLAC | $1 | — | $1 | 0.00% |
| KIRSTEN E WALSH3 | 112 NORWOOD AVE NORTHPORT, NY 11768 | AFLAC | $377 | — | $377 | 2.60% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE WALSH | 255 W NECK RD HUNTINGTON, NY 11743 | AFLAC | $272 | — | $272 | 1.88% |
| JACQUES P DAVID CORPORATION3 | 5 MONFORT DR HUNTINGTON, NY 11743 | AFLAC | $186 | — | $186 | 1.28% |
| ROGER W BORSETT3 | 1999 OAKLAND AVE WANTAGH, NY 11793 | AFLAC | $151 | — | $151 | 1.04% |
| SEAN FX GLEASON LLC3 | 52 HOLIDAY PARK DR HAUPPAUGE, NY 11788 | AFLAC | $120 | — | $120 | 0.83% |
| EDWIN O'CONNOR3 | 22 FAIRVIEW RD W MASSAPEQUA, NY 11758 | AFLAC | $113 | — | $113 | 0.78% |
| PROFILE COMMERCIAL CORPORATION3 | 320 S SERVICE RD MELVILLE, NY 11747 | AFLAC | $86 | — | $86 | 0.59% |
| KENNETH C MEIER CORP3 | 19 MARKWOOD RD GARDEN CITY, NY 11530 | AFLAC | $71 | — | $71 | 0.49% |
| WILLIAM J LOEFFERT3 | 545 DAVIS ST NORTH BABYLON, NY 11703 | AFLAC | $46 | — | $46 | 0.32% |
| PATRICK RUHLE3 | 200 GARDEN CITY PLZ STE 410 GARDEN CITY, NY 11530 | AFLAC | $23 | — | $23 | 0.16% |
| ANTHONY CAVALLARO3 | 1 BAY CLUB DR APT 4A BAYSIDE, NY 11360 | AFLAC | $22 | — | $22 | 0.15% |
| J DAVID AND ASSOCIATES INC3 Filed as: J DAVID & ASSOCIATES INC | 35 PINELAWN RD STE 190 MELVILLE, NY 11747 | AFLAC | $9 | — | $9 | 0.06% |
| STEPHEN WHITE3 Filed as: STEPHEN P WHITE | 5 EMERALD LN MONTEBELLO, NY 10901 | AFLAC | $9 | — | $9 | 0.06% |
| BRIAN WHITE3 | 6 COWDIN LN CHAPPAQUA, NY 10514 | AFLAC | $9 | — | $9 | 0.06% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE RD SARATOGA SPRINGS, NY 12866 | AFLAC | $7 | — | $7 | 0.05% |
| TODD BURKE3 | 199 WATER ST FL 23 NEW YORK, NY 10038 | AFLAC | $4 | — | $4 | 0.03% |
| A SECURE YOU INC4 | 63 SABLE RUN EAST AMHERST, NY 14051 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $2K | — | $2K | 16.14% |
| EDGEWOOD PARTNERS INSURANCE CENTER4 | 1390 WILLOW PASS RD STE 800 CONCORD, CA 945207924 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $334 | — | $334 | 3.59% |
| CORPORATE SYNERGIES GROUP LLC4 Filed as: CORPORATE SYNERGIES GROUP | 5000 DEARBORN CIR STE 100 MOUNT LAUREL, NJ 08054 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $201 | — | $201 | 2.16% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE WALSH | 255 W NECK RD HUNTINGTON, NY 11743 | AFLAC | $538 | — | $538 | 7.31% |
| KIRSTEN E WALSH3 | 112 NORWOOD AVE NORTHPORT, NY 11768 | AFLAC | $145 | — | $145 | 1.97% |
| JACQUES P DAVID CORPORATION3 | 5 MONFORT DR HUNTINGTON, NY 11743 | AFLAC | $121 | — | $121 | 1.64% |
| ROGER W BORSETT3 | 1999 OAKLAND AVE WANTAGH, NY 11793 | AFLAC | $35 | — | $35 | 0.48% |
| KENNETH C MEIER CORP3 | 19 MARKWOOD RD GARDEN CITY, NY 11530 | AFLAC | $32 | — | $32 | 0.43% |
| EDWIN O'CONNOR3 | 22 FAIRVIEW RD W MASSAPEQUA, NY 11758 | AFLAC | $27 | — | $27 | 0.37% |
| PROFILE COMMERCIAL CORPORATION3 | 320 S SERVICE RD MELVILLE, NY 11747 | AFLAC | $17 | — | $17 | 0.23% |
| WILLIAM J LOEFFERT3 | 545 DAVIS ST NORTH BABYLON, NY 11703 | AFLAC | $9 | — | $9 | 0.12% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE RD SARATOGA SPRING, NY 12866 | AFLAC | $5 | — | $5 | 0.07% |
| BRIAN WHITE3 | 6 COWDIN LN CHAPPAQUA, NY 10514 | AFLAC | $5 | — | $5 | 0.07% |
| PATRICK RUHLE3 | 200 GARDEN CITY PLZ STE 410 GARDEN CITY, NY 11530 | AFLAC | $4 | — | $4 | 0.05% |
| TODD BURKE3 | 199 WATER ST FL 23 NEW YORK, NY 10038 | AFLAC | $1 | — | $1 | 0.01% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE WALSH | 255 W NECK RD HUNTINGTON, NY 11743 | AFLAC | $370 | — | $370 | 5.23% |
| KIRSTEN E WALSH3 | 112 NORWOOD AVE NORTHPORT, NY 11768 | AFLAC | $263 | — | $263 | 3.71% |
| JACQUES P DAVID CORPORATION3 | 5 MONFORT DR HUNTINGTON, NY 11743 | AFLAC | $117 | — | $117 | 1.65% |
| MICHAEL BURACK3 | 46 THREEPENCE DR MELVILLE, NY 11747 | AFLAC | $52 | — | $52 | 0.73% |
| SEAN FX GLEASON LLC3 | 52 HOLIDAY PARK DR HAUPPAUGE, NY 11788 | AFLAC | $727 | $189 | $916 | — |
| ANTHONY S ALMODOVAR3 Filed as: ANTHONY R ORGERA | 35 PINELAWN RD STE 190 MELVILLE, NY 11747 | AFLAC | $144 | $35 | $179 | — |
| JACQUES P DAVID CORPORATION3 Filed as: JACQUES P DAVID | 5 MONFORT DR HUNTINGTON, NY 11743 | AFLAC | $93 | $35 | $128 | — |
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 | 1,108 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 561 | $7.1M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 561 | $7.1M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 561 | $7.1M |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 1,970 | $487K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 1,970 | $487K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 1,970 | $487K |
| Other(8 contracts, 4 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,970 | $7.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,970 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.