| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, LLC | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | CIGNA | $78K | — | $78K | 1.41% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY #195 ATLANTA, GA 30339 | EXPRESS SCRIPTS, INC. | $12K | — | $12K | 1.64% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY #195 ATLANTA, GA 30339 | HARTFORD LIFE AND ACCIDENT | $26K | — | $26K | 5.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, LLC | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | DELAWARE AMERICAN LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| THE PARTNERS GROUP3 Filed as: TPG GROUP INC | 10 TOWER LANE SUITE 100 AVON, CT 06001 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 6.00% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY #195 ATLANTA, GA 30339 | HARTFORD LIFE AND ACCIDENT | $1K | — | $1K | 4.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, LLC | 200 GALLERIA PARKWAY, SE SUITE 1950 ATLANTA, GA 30339 | CIGNA DENTAL HEALTH - VARIOUS STATES | $315 | — | $315 | 1.02% |
| ENROLLEASE3 Filed as: ONEDIGITAL | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | EYEMED/FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
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 | 317 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 29 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 346 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA | 741 | $5.6M |
| Dental(3 contracts, 3 carriers) | CIGNA | 741 | $5.7M |
| Vision | EYEMED/FIDELITY SECURITY LIFE INSURANCE COMPANY | 676 | $31K |
| Life insurance | DELAWARE AMERICAN LIFE INSURANCE COMPANY | 2 | $47K |
| Long-term disability | DELAWARE AMERICAN LIFE INSURANCE COMPANY | 2 | $47K |
| Prescription drug(2 contracts, 2 carriers) | CIGNA | 741 | $6.3M |
| Other(6 contracts, 5 carriers) | CIGNA | 741 | $6.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 741 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.