| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 400 GALLERIA PARKWAY STE 300 ATLANTA, GA 30339 | ANTHEM HEALTH PLANS, INC. | $19K | — | $19K | 2.44% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | 2321 WHITNEY AVENUE HAMDEN, CT 06518 | ANTHEM HEALTH PLANS, INC. | $10K | — | $10K | 1.29% |
| DIGITAL INSURANCE LLC0 | 400 GALLERIA PARKWAY STE 300 ATLANTA, GA 30339 | ANTHEM HEALTH PLANS OF CONNECTICUT, INC. | $3K | — | $3K | 4.12% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | 2321 WHITNEY AVENUE HAMDEN, CT 06518 | ANTHEM HEALTH PLANS OF CONNECTICUT, INC. | $546 | — | $546 | 0.88% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST | 185 ASYLUM STREET HARTFORD, CT 06103 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $235 | $2K | 18.51% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 303395946 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $834 | $111 | $945 | 13.27% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST | 185 ASYLUM STREET HARTFORD, CT 06103 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $234 | $19 | $253 | 3.55% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY ST. SUITE 1950 ATLANTA, GA 303395946 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $362 | $72 | $434 | 9.36% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST | 185 ASYLUM STREET HARTFORD, CT 06103 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $102 | $13 | $115 | 2.48% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST, INC | 185 ASYLUM STREET HARTFORD, CT 06103 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $108 | $1K | 28.71% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY SE SUITE 1950 ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $27 | — | $27 | 0.59% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 303395946 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $457 | $151 | $608 | 16.65% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST | 185 ASYLUM STREET HARTFORD, CT 06103 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $290 | $15 | $305 | 8.35% |
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 | 122 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS, INC. | 172 | $792K |
| Dental | ANTHEM HEALTH PLANS OF CONNECTICUT, INC. | 67 | $62K |
| Vision | ANTHEM HEALTH PLANS, INC. | 172 | $792K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 122 | $12K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 16 | $10K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 11 | $4K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 122 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 172 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.