| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALICARE, INC3 Filed as: ALICARE | 333 WESTCHESTER AVENUE WHITE PLAINES, NY 10604 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $85 | $85 | 2.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SIDNEY HILLMAN HEALTH CENTRE EIN 36-2245908 AFFILIATE | Claims processing Service code 12 | — | $2.6M |
| SAVRX EIN 47-0527013 NONE | Claims processing Service code 12 | — | $237K |
| ROGER WILLIAMS EIN 36-1892420 EMPLOYEE | Employee (plan) Service code 30 | — | $26K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $24K |
| GERALDINE S. BARNETT NONE | Consulting (general) Service code 16 | 4063 N. KILBOURN AVENUE CHICAGO, IL 60641 | $11K |
| GUARDIAN EIN 13-5123390 NONE | Claims processing Service code 12 | — | $7K |
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 | 4,050 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,050 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 67 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 67 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.