| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 400 GALLERIA PKWY, STE 300 ATLANTA, GA 30339 | ANTHEM HEALTH PLANS, INC. | $4K | — | $4K | 0.73% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS, INC. EIN 06-1475928 | Claims processing; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Other services Service code 12 | — | $405K |
| DIGITAL INSURANCE INC. | Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | 400 GALLERIA PKWY, STE 300 ATLANTA, GA 30339 | $0 |
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 | 739 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 739 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ANTHEM HEALTH PLANS, INC. | 561 | $482K |
| Vision | ANTHEM HEALTH PLANS, INC. | 561 | $482K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 739 | $161K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 739 | $161K |
| Prescription drug | ANTHEM HEALTH PLANS, INC. | 561 | $482K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS, INC. | 561 | $482K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 739 | $161K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 739 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.