| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SAVOY ASSOCIATES3 Filed as: DONALD C. SAVOY ASSOCIATES | 445 BROADHOLLOW RD STE 119 MELVILLE, NY 11747 | GUARDIAN LIFE INSURANCE COMPANY | $47K | $0 | $47K | 12.13% |
| AMERIHEATH ADMINISTRATORS, INC3 Filed as: AMERIHEATH ADMINISTORS, INC | P.O. BOX 21545 EAGAN, MN 55121 | GUARDIAN LIFE INSURANCE COMPANY | $5K | $10K | $16K | 3.97% |
| EXUDE BENEFITS GROUP INC3 Filed as: EXUDE BENEFITS GROUP, INC | 325 CHESTNUT ST PHILADELPHIA, PA 19106 | GUARDIAN LIFE INSURANCE COMPANY | -$11K | $0 | -$11K | -2.73% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EXUDE,INC. BROKER | Insurance agents and brokers Service code 22 | 325 CHESTNUT ST STE 1000 PHILADELPHIA, PA 19106 | $127K |
| INDEPENDENCE ADMINISTRATORS EIN 23-2184623 ADMIN | Claims processing Service code 12 | — | $71K |
| THE BENECON GROUP, LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $32K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $11K |
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 | 219 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 223 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN LIFE INSURANCE COMPANY | 219 | $390K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY | 219 | $390K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY | 219 | $390K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 186 | $603K |
| Other(2 contracts, 2 carriers) | GUARDIAN LIFE INSURANCE COMPANY | 219 | $390K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 219 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.