The Guardian Life Insurance Company of America

New York, NY Finance & insuranceNAICS 524140

Self-funded health planPlan year 2025Renews January
1,441Participants0% vs. prior year
$3.4MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#22 of 59Finance & insurance in NYBy participants

Overview

The Guardian Life Insurance Company of America sponsors a self-funded health plan that covered 1,441 participants in plan year 2025, about the same as the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,441 · prior year 1,443
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
The Guardian Life Insurance Company of America Health and Welfare Benefits Plan for Retired Employees, plan 537 (1,441 participants); The Guardian Life Insurance Company of America Health and Welfare Benefits Plan for Retired Field Representatives, plan 538 (593 participants); Edgeworth Monitoring, LLC Employee Benefit Plan, plan 501 (160 participants)
Broker compensation
$35K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityDeath benefitsOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
The Guardian Life Insurance Company of AmericaLife, Dental, Vision, Short-term disability, Long-term disability, Critical Illness, Medical, Hospital Indemnity5,213$10.1M$35K
Vision Service PlanVision2,477$704K—
Hawaii Medical Service AssociationMedical42$485K—
Metropolitan Life Insurance CompanyVision3,538$348K—

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$3.4M/ year

Estimated prescription spend: 1,441 participants × $2,371 national average per member. Usually higher once dependents are counted.

$89K–$219K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$26K–$65K
Lower-cost therapeutic alternatives$38K–$79K
Generic pricing vs. actual cost$16K–$49K
PBM contract terms$9K–$26K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
The Guardian Life Insurance Company of America
Sponsor EIN
13-5123390
Plan numbers
537, 538, 501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 13-5123390 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
The Guardian Home Office Employees' Retirement PLA
Type
Pension plan
Participants
7,536

About this data

Source: The Guardian Life Insurance Company of America's Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with The Guardian Life Insurance Company of America.

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