| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY STE 1950 ATLANTA, GA 30339 | ANTHEM HEALTH PLANS, INC. | $21K | — | $21K | 2.82% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 303395946 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $137 | $1K | 17.00% |
| ENROLLEASE0 Filed as: ONEDIGITAL - FARMINGTON CT | 200 GALLERIA PARKWAY STE 1950 ATLANTA, GA 30339 | EYEMED VISION CARE FOR THE FIDELITY SECURITY LIFE INSURANCE COMPANY | $736 | — | $736 | 16.92% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | PO BOX 414965 BOSTON, MA 02241 | EYEMED VISION CARE FOR THE FIDELITY SECURITY LIFE INSURANCE COMPANY | $128 | — | $128 | 2.94% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY SE SUITE 1950 ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $596 | — | $596 | 14.08% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST, INC | 185 ASYLUM STREET HARTFORD, CT 06103 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $211 | — | $211 | 4.98% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 303395946 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $613 | $102 | $715 | 17.49% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY ST. SUITE 1950 ATLANTA, GA 303395946 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $314 | $63 | $377 | 14.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON NORTHEAST | 185 ASYLUM STREET HARTFORD, CT 06103 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | -$2K | -$155 | -$3K | — |
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 | 105 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS, INC. | 127 | $744K |
| Dental | ANTHEM HEALTH PLANS, INC. | 127 | $744K |
| Vision(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS, INC. | 127 | $748K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 105 | $3K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 15 | $0 |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 11 | $4K |
| Other(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 105 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 127 | — |
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.