| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DSM FINANCIAL LLC0 Filed as: DSM FINANCIAL | 3309 109TH STREET URBANDALE, IA 50322 | AITHER HEALTH LLC | — | $11K | $11K | — |
| HEALTH BENEFITS ALLIANCE4 | 1 HUNTINGTON QUADRANGLE MELVILLE, NY 11747 | AITHER HEALTH LLC | — | $8K | $8K | — |
| PAYER COMPASS4 | 5800 GRANITE PARKWAY SUITE 450 PLANO, TX 75024 | AITHER HEALTH LLC | — | $5K | $5K | — |
| PHCS4 | 115 FIFTH AVENUE NEW YORK, NY 10003 | AITHER HEALTH LLC | — | $4K | $4K | — |
| WORLDCARE4 | 7 BULFINCH PLACE SUITE 301 BOSTON, MA 02114 | AITHER HEALTH LLC | — | $2K | $2K | — |
| SYNOLO LLC3 | 25 SEIR HILL ROAD NORWALK, CT 06850 | AITHER HEALTH LLC | — | $2K | $2K | — |
| 1-800-MD4 Filed as: 1-800 MD | 6408 BANNINGTON RD CHARLOTTE, NC 28226 | AITHER HEALTH LLC | — | $1K | $1K | — |
| PHIA GROUP0 Filed as: PHIA GROUP CONSULTING | 40 PEQUOT WAY CANTON, MA 02021 | AITHER HEALTH LLC | — | $470 | $470 | — |
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 | 46 | 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) | 46 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AITHER HEALTH LLC | 46 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 46 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.