| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BURNHAM FINANCIAL SERVICES, LLC3 | 2038 SARANAC AVE. LAKE PLACID, NY 12946 | EXCELLUS BCBS | $214K | — | $214K | 1.36% |
| BURNHAM FINANCIAL SERVICES, LLC3 | 2038 SARANAC AVE LAKE PLACID, NY 12946 | EXCELLUS BCBS | $104K | — | $104K | 2.07% |
| BURNHAM FINANCIAL SERVICES, LLC3 | 2038 SARANAC AVE LAKE PLACID, NY 12946 | STANDARD INSURANCE COMPANY | $94K | — | $94K | 7.73% |
| JEFFREY P. BURNHAM3 | 2038 SARANAC AVE LAKE PLACID, NY 12946 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $45K | — | $45K | 4.15% |
| BURNHAM FINANCIAL SERVICES, LLC3 Filed as: BURNHAM FINANCIAL SERVICES | 2038 SARANAC AVE LAKE PLACID, NY 12946 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $23K | $23K | 2.10% |
| JEFFREY P. BURNHAM3 | 2038 SARANAC AVE. LAKE PLACID, NY 129461177 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $21K | — | $21K | 10.00% |
| BURNHAM FINANCIAL SERVICES, LLC3 Filed as: BURNHAM FINANCIAL SERVICES | 2038 SARANAC AVE. LAKE PLACID, NY 129461177 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $8K | $8K | 3.96% |
| BURNHAM FINANCIAL SERVICES, LLC3 | 2038 SARANAC AVE LAKE PLACID, NY 12946 | AMERITAS LIFE INSURANCE CORP. | $29K | — | $29K | — |
| BURNHAM FINANCIAL SERVICES, LLC3 | 2038 SARANAC AVE LAKE PLACID, NY 12946 | SUNLIFE ASSURANCE COMPANY OF CANADA | $23K | — | $23K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHSCOPE EIN 71-0847266 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $817K |
| AMERITAS LIFE INSURANCE CORP. EIN 47-0098400 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $73K |
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 | 1,871 | 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) | 1,871 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | EXCELLUS BCBS | 809 | $20.7M |
| Dental(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,201 | $1.1M |
| Vision(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,201 | $1.1M |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 1,871 | $2.3M |
| Short-term disability(2 contracts) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,201 | $1.3M |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,201 | $1.1M |
| Prescription drug(2 contracts) | EXCELLUS BCBS | 809 | $20.7M |
| Stop-loss / reinsurancereinsurance | SUNLIFE ASSURANCE COMPANY OF CANADA | 665 | $0 |
| Other(2 contracts) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,201 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,871 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.