| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $150K | $81K | $231K | 8.58% |
| ENROLLEASE3 Filed as: DIGITAL BENEFIT ADVISORS | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | UNITEDHEALTHCARE INSURANCE COMPANY | $12K | $0 | $12K | 12.00% |
| JOHN F MURPHY AND OTHER AGENTS4 Filed as: JOHN F. MURPHY AND OTHER AGENTS | 301 RIVER WALK DRIVE SIMPSONVILLE, SC 29681 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $7K | $0 | $7K | 13.19% |
| THE AGURS GROUP INC.4 Filed as: THE AGURS GROUP INC | 5721 FRENCH LACE COURT NORTH LAS VEGAS, NV 89081 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $195 | $0 | $195 | 0.37% |
| TODAY'S THE DAY LLC4 | 7312 SEAWALL BOULEVARD, APT 209 GALVESTON, TX 77551 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $79 | $0 | $79 | 0.15% |
| HEARTLAND BENEFITS GROUP LLC4 | 3120 CASTLETON XING SUN PRAIRIE, WI 53590 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $63 | $0 | $63 | 0.12% |
| MARCIA D SHEA4 Filed as: MARCIA D. SHEA | 711 DEL RIO COURT HANFORD, CA 93230 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $47 | $0 | $47 | 0.09% |
| UNIQUE BENEFITS GROUP INC4 | 7 CAPOZZI CIRCLE WOBURN, MA 01801 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $28 | $0 | $28 | 0.05% |
| EILEEN BASEMORE4 | 7760 CRYSTAL SPRINGS CIRCLE APT 105 RALEIGH, NC 27617 | PRE-PAID LEGAL SERVICES DBA LEGALSHIELD | $27 | $0 | $27 | 0.05% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | ZURICH AMERICAN INSURANCE COMPANY | $0 | $4K | $4K | 20.00% |
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 | 4,382 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 19 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,401 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 6 | $110K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 7,406 | $2.6M |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 2,383 | $519K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,382 | $2.7M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,382 | $2.7M |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 6 | $110K |
| Other(5 contracts, 5 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 12,118 | $3.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,118 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.