| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 200 SUMMIT LAKE DRIVE VALHALLA, NY 10595 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 3.60% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CATAMARAN EIN 88-0361447 NONE | Claims processing Service code 12 | — | $148.9M |
| HEALTH CARE SERVICE CORP EIN 36-1236610 NONE | Claims processing Service code 12 | — | $106.7M |
| HORIZON BLUE CROSS BLUE SHIELD EIN 22-0999690 NONE | Claims processing Service code 12 | — | $53.9M |
| EMPIRE HEALTHCHOICE ASSURANCE, INC EIN 23-7391136 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Claims processing; Float revenue Service code 12 | — | $41.4M |
| TUFTS EIN 04-2674079 NONE | Claims processing Service code 12 | — | $39.5M |
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Contract Administrator Service code 13 | — | $14.7M |
| CONNECTICUT GENERAL LIFE INSUR EIN 06-0303370 NONE | Claims processing Service code 12 | — | $6.7M |
| DESERT RADIOLOGISTS EIN 88-0098322 NONE | Claims processing Service code 12 | — | $6.5M |
| ROGER P. FIELDMAN DDS, INC EIN 95-3126532 NONE | Claims processing Service code 12 | — | $4.9M |
| COMPREHENSIVE CANCER CENTERS OF NEV EIN 88-0350180 NONE | Claims processing Service code 12 | — | $4.7M |
| DELTA DENTAL PLAN OF ILLINOIS EIN 36-2612058 NONE | Claims processing Service code 12 | — | $4.3M |
| JJD, LLC EIN 35-2484399 NONE | Other services Service code 49 | — | $3.2M |
| TAKE CARE EMPLOYER SOLUTIONS, LLC EIN 23-3057155 NONE | Claims processing Service code 12 | — | $2.8M |
| BRIAN K IRIYE, MD & ASSOC EIN 88-0479581 NONE | Claims processing Service code 12 | — | $2.1M |
| CLINICAL PATHOLOGY LABORATORIES EIN 74-2554159 NONE | Claims processing Service code 12 | — | $2.1M |
| OPTUM CLAIMS EIN 94-2649097 NONE | Claims processing Service code 12 | — | $1.8M |
| MODERN ASSISTANCE PROGRAMS EIN 04-3014253 NONE | Claims processing Service code 12 | — | $1.7M |
| VITECH SYSTEMS GROUP INC EIN 13-3785492 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $1.6M |
| MARQUARDT PRINTING CO EIN 36-3050796 NONE | Other services Service code 49 | — | $1.5M |
| IORA HEALTH, INC. EIN 45-3514434 NONE | Other services Service code 49 | — | $1.4M |
| PHC OF NEVADA, INC EIN 04-3290453 NONE | Claims processing Service code 12 | — | $1.3M |
| SEYFARTH SHAW, LLP EIN 36-2152202 NONE | Legal Service code 29 | — | $1.1M |
| WELLDYNERX EIN 83-0338400 NONE | Claims processing Service code 12 | — | $1.1M |
| DAVIS VISION INC EIN 11-3051991 NONE | Claims processing Service code 12 | — | $1.1M |
| GUARDIAN LIFE INSURANCE CO EIN 13-5123390 NONE | Claims processing Service code 12 | — | $1.1M |
| A & B PRINTING AND MAILING EIN 88-0474575 NONE | Other services Service code 49 | — | $871K |
| HEALTH SERVICES COALITION EIN 88-0492643 NONE | Other services Service code 49 | — | $802K |
| QUANTUM HEALTH EIN 20-8423895 NONE | Consulting fees Service code 70 | — | $651K |
| METLIFE INSTITUTIONAL GROUP EIN 13-5581829 NONE | Claims processing Service code 12 | — | $609K |
| MPHASIS CORP EIN 95-4759720 NONE | Other services Service code 49 | — | $572K |
| AEROTEK PROFESSIONAL SERVICES EIN 52-1822806 NONE | Other services Service code 49 | — | $494K |
| WALKER, MATTHEW EIN 23-7385560 EMPLOYEE | Employee (plan) Service code 30 | — | $445K |
| FINCH, MARK EIN 23-7385560 EMPLOYEE | Employee (plan) Service code 30 | — | $437K |
| SEASHORE PHYSICAL THERAPY, LLC EIN 27-2981535 NONE | Other services Service code 49 | — | $428K |
| GILBERTSON, ELIZABETH EIN 23-7385560 EMPLOYEE | Employee (plan) Service code 30 | — | $383K |
| PORCARO, STOLAREK, METE PARTNERS LL EIN 47-2221667 NONE | Other services Service code 49 | — | $370K |
| MACNELL ACCOUNTING AND CONSULTING EIN 30-0510353 NONE | Accounting (including auditing) Service code 10 | — | $363K |
| MEDICAL COST MANAGEMENT CORP. EIN 36-3445315 NONE | Consulting fees Service code 70 | — | $359K |
| MODIS EIN 65-0000600 NONE | Other services Service code 49 | — | $354K |
| MICHAEL, DOLORES EIN 23-7385560 EMPLOYEE | Employee (plan) Service code 30 | — | $346K |
| SILVER, KATHLEEN EIN 23-7385560 EMPLOYEE | Employee (plan) Service code 30 | — | $339K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Investment management fees paid directly by plan Service code 51 | — | $316K |
| TCS HEALTHCARE TECHNOLOGIES EIN 94-2877440 NONE | Consulting fees Service code 70 | — | $287K |
| TANG, PEI EIN 23-7385560 EMPLOYEE | Employee (plan) Service code 30 | — | $282K |
| REYNOSO, CHRISTINE EIN 23-7385560 EMPLOYEE | Employee (plan) Service code 30 | — | $269K |
| STANFORD UNIVERSITY EIN 94-1156365 NONE | Other services Service code 49 | — | $267K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Consulting fees Service code 70 | — | $265K |
| KRAJCINOVIC, IVANA EIN 23-7385560 EMPLOYEE | Employee (plan) Service code 30 | — | $250K |
| SOCHA, JOHN EIN 23-7385560 EMPLOYEE | Employee (plan) Service code 30 | — | $248K |
| TRIZETTO GROUP, INC. EIN 33-0761159 NONE | Other services Service code 49 | — | $243K |
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 | 98,197 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,849 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 100,046 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET OF CALIFORNIA | 371 | $4.7M |
| Dental(5 contracts, 5 carriers) | NEVADA DENTAL BENEFITS, LTD. | 142,000 | $39.2M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 2,010 | $123K |
| Life insurance(2 contracts, 2 carriers) | FORT DEARBORN LIFE INSURANCE COMPANY (FDL) | 98,153 | $2.4M |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 3,820 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 142,000 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.