Form 5500 · Employee benefit plan · DEVENS, MA
DEVENS TREATMENT & RECOVERY CENTER, LLC TARA VISTA BEHAVIORAL HEALTH
DEVENS TREATMENT & RECOVERY CENTER, LLC TARA VISTA BEHAVIORAL HEALTH of DEVENS, MA insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is 0009K891. Coverage is written through THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-5245366 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering dental, vision, life and disability; the largest, with THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, covers 480 people.
Reported premium across the insured contracts is $473,169, with $33,463 in disclosed broker commissions — about 7.1% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
0009K891 is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and VISION SERVICE PLAN.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Life, Disability | 480 | December | $445,980 | $32,167 |
| VISION SERVICE PLAN | Vision | 261 | December | $27,189 | $1,296 |
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