| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY SE SUITE1950 ATLANTA, GA 30339 | MUTUAL OF OMAHA INSURANCE COMPANY | $14K | $5K | $18K | 15.92% |
| ANTHEM INSURANCE COMPANIES, INC.3 Filed as: ANTHEM HEALTH PLANS OF CT INC | PO BOX 1171 MINNEAPOLIS, MN 55440 | ANTHEM HEALTH PLANS OF CONNECTICUT INC | $361 | $6K | $6K | 5.79% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY SUITE1950 ATLANTA, GA 30339 | ANTHEM BLUE CROSS AND BLUE SHIELD | $6K | — | $6K | 42.12% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY #300 ATLANTA, GA 30339 | ANTHEM BLUE CROSS AND BLUE SHIELD | $361 | $543 | $904 | 6.36% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $223 | $3 | $226 | 6.47% |
No Schedule C service providers reported on this filing.
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 | 151 | 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) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ANTHEM HEALTH PLANS OF CONNECTICUT INC | 125 | $108K |
| Vision | ANTHEM BLUE CROSS AND BLUE SHIELD | 113 | $14K |
| Life insurance | MUTUAL OF OMAHA INSURANCE COMPANY | 151 | $115K |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 151 | $115K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 151 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.