| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: DIGITAL BENEFIT ADVISORS | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $34K | $34K | 4.17% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | HARTFORD LIFE AND ACCIDENT | $12K | $316 | $12K | 15.11% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | HUMANA INSURANCE COMPANY | $5K | $3K | $8K | 14.63% |
| KATHY W. COHEN3 | 21711 TOWN PLACE DRIVE BOCA RATON, FL 33433 | AFLAC | $869 | $0 | $869 | 4.21% |
| MJ INSURANCE3 Filed as: JOSHUA BUZZARD AND VARIOUS AGENTS | 7458 TRESCOTT DRIVE LAKE WORTH, FL 33467 | AFLAC | $450 | $21 | $471 | 2.28% |
| FRIDAY ROSE CRAWFORD3 | 4100 NW 7TH COURT DELRAY BEACH, FL 33445 | AFLAC | $261 | $0 | $261 | 1.26% |
| BRENDA LYNN GARRETT3 | 5400 GLENWOOD AVENUE, SUITE G03 RALEIGH, NC 27612 | AFLAC | $181 | $0 | $181 | 0.88% |
| BARRY BAYUK3 Filed as: BARRY M. BAYUK | 7193 VENETO DRIVE BOYNTON BEACH, FL 33437 | AFLAC | $139 | $0 | $139 | 0.67% |
| JAVIER ORTIZ3 | 165 NE 96TH STREET MIAMI SHORES, FL 33138 | AFLAC | $102 | $3 | $105 | 0.51% |
| SHARON BASSOFF INC3 Filed as: SHARON BASSOFF INC. | 11550 SW 9TH COURT PEMBROKE PINES, FL 33025 | AFLAC | $103 | $0 | $103 | 0.50% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | COMPBENEFITS COMPANY | $718 | $1K | $2K | 25.58% |
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 | 165 | 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) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 99 | $818K |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 89 | $63K |
| Vision | HUMANA INSURANCE COMPANY | 89 | $56K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 167 | $80K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 167 | $80K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 99 | $818K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 167 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 167 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.