Plan Ledger DOL Form 5500 · updated monthly

Middletown Park Rehabiliation and Health Care Centerbenefits

Park Manor Acquisition II, LLC · MIDDLETOWN, NY · plan year 2023

Broker compensation reported · 2023
$7,234

Middletown Park Rehabiliation and Health Care Center's benefits plan covered 31 active participants in 2023, providing health · life · dental · vision. Insurance brokers and agents were paid $7,234 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $233 per covered person, above the median for employer plans that report broker pay.

Insurance contracts · 20233
AFLAC · healthpremiums n/a · 60,380 covered
FIRST UNUM LIFE INSURANCE COMPANY · dental vision lifepremiums n/a · 2 covered
RELIASTAR · lifepremiums n/a · 2 covered
Brokers & agents paid · 20237
DOMINICK R SIRACUSA$3,107 · incl $71 fees
JMA CONSULTING$2,259 · incl $114 fees
ROBERT G RELPH AGENCY INC$176
ROBERT G RELPH AGENCY$84
MCINERNEY GROUP LLC$11
W E BRENNAN INC$4
15 individual agents · names withheld$1,593

Individual agents paid under $1,000 on this filing are shown as a total. The amounts are as filed; only the personal names are withheld.

Also brokered by Dominick R Siracusa5

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 271571123 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.