| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | 200 GALLERIA PARKWAY ATLANTA, GA 30339 | AETNA LIFE INSURANCE COMPANY | $15K | — | $15K | 3.78% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY ROAD WOODBURY, NY 11797 | AETNA LIFE INSURANCE COMPANY | $4K | — | $4K | 0.95% |
| FNA INSURANCE SERVICES INC3 | 1000 WOODBURY ROAD WOODBURY, NY 11797 | AETNA LIFE INSURANCE COMPANY | $3K | — | $3K | 0.69% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | HARTFORD LIFE AND ACCIDENT | $12K | $3K | $15K | 6.86% |
| ROBERT D WOLF3 | 355 LEXINGTON AVE FL 22 NEW YORK, NY 10017 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 0.76% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | AETNA LIFE INSURANCE COMPANY | $11K | — | $11K | 12.69% |
| WOLF, ROBERT D3 | 222 WEST ST A501 KEENE, NH 03431 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | — | $1K | 8.72% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $645K |
| DIGITAL INSURANCE NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | $241K |
| AETNA BEHAVORIAL HEALTH, LLC NONE | Contract Administrator; Other services Service code 13 | 151 FARMINGTON AVENUE RSAA HARTFORD, CT 06156 | $11K |
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 | 675 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 689 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | AETNA LIFE INSURANCE COMPANY | 530 | $803K |
| Dental | AETNA LIFE INSURANCE COMPANY | 729 | $397K |
| Vision | AETNA LIFE INSURANCE COMPANY | 729 | $397K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 675 | $218K |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 675 | $232K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 675 | $218K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 530 | $719K |
| Other(4 contracts, 4 carriers) | HARTFORD LIFE AND ACCIDENT | 675 | $318K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 729 | — |
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."
No prospect flags tripped on this filing.