| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: DIGITAL BENEFIT ADVISORS-ORLANDO FL | 200 GALLERIA PARKWAY, STE 1950 ATLANTA, GA 303395946 | UNITEDHEALTHCARE INSURANCE COMPANY | $27K | — | $27K | 1.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PKWY SE STE. 1950 ATLANTA, GA 30339 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $64K | $38K | $102K | 6.66% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | C/O DIGITAL INSURANCE 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | RELIASTAR LIFE INSURANCE COMPANY | $34K | — | $34K | 5.80% |
| ENROLLEASE3 Filed as: DIGITAL INSURANCE, INC.-ATLANTA,GA | 200 GALLERIA PKWY, SUITE 1950 ATLANTA, GA 30339 | EYEMED | $11K | — | $11K | 2.25% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PKWY SE STE. 1950 ATLANTA, GA 303395946 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 0.46% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE SUITE 1950 ATLANTA, GA 303395946 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $25K | — | $25K | 8.83% |
| PETER J MACE3 | 5775 E GLENRIDGE DR SUITE 500 ATLANTA, GA 30328 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 1.44% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BFTS & INS SVCS INC | 700 WEST 47TH STREET SUITE 1100 KANSAS CITY, MO 64112 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 1.39% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | 200 GALLERIA PARKWAY, STE 1950 ATLANTA, GA 30339 | ZURICH AMERICAN INSURANCE COMPANY | $18K | — | $18K | 10.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE SUITE 1950 ATLANTA, GA 303395946 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $53K | — | $53K | 42.48% |
| PETER J MACE3 | 5775 E GLENRIDGE DR SUITE 500 ATLANTA, GA 30328 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $56 | — | $56 | 0.05% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BFTS & INS SVCS INC | 700 WEST 47TH STREET SUITE 1100 KANSAS CITY, MO 64112 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PKWY SE STE. 1950 ATLANTA, GA 303395946 | KAISER FOUNDATION HEALTH PLAN INC | $507 | — | $507 | 0.46% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PKWY SE STE. 1950 ATLANTA, GA 30339 | HYATT LEGAL PLANS OF FLORIDA | $7K | $468 | $8K | 10.78% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | 200 GALLERIA PARKWAY, STE 1950 ATLANTA, GA 30339 | ZURICH AMERICAN INSURANCE COMPANY | $399 | — | $399 | 9.99% |
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 | 3,460 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 32 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 88 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,580 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 84 | $524K |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 3,028 | $2.7M |
| Vision | EYEMED | 5,749 | $468K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 3,423 | $1.5M |
| Short-term disability | AETNA LIFE INSURANCE CO. | 1,935 | $1.3M |
| Long-term disability | AETNA LIFE INSURANCE CO. | 1,935 | $1.3M |
| Other(8 contracts, 6 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 3,423 | $2.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,749 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.