| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EVERLONG GRP MEDICAL CAPTIVE SVCS3 | 1901 BUTTERFIELD ROAD, STE 920 DOWNERS GROVE, IL 60515 | HCC LIFE INSURANCE COMPANY | $99K | $14K | $113K | 8.54% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | HCC LIFE INSURANCE COMPANY | $93K | $0 | $93K | 7.00% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | DELTA DENTAL OF PENNSYLVANIA | $18K | $0 | $18K | 5.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $22K | $3K | $25K | 11.35% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | $2K | $12K | 11.63% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | $0 | $10K | 10.00% |
| EVERLONG GRP MEDICAL CAPTIVE SVCS3 | 1901 BUTTERFIELD RD, STE 920 DOWNERS GROVE, IL 60515 | HCC LIFE INSURANCE COMPANY | $0 | $2K | $2K | 3.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | VISION SERVICE PLAN | $2K | $0 | $2K | 3.46% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $336 | $2K | 11.66% |
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 | 567 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 576 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HCC LIFE INSURANCE COMPANY | 503 | $1.3M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 1,164 | $369K |
| Vision | VISION SERVICE PLAN | 497 | $53K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 574 | $220K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 251 | $102K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 574 | $103K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 503 | $1.3M |
| Other(2 contracts, 2 carriers) | HCC LIFE INSURANCE COMPANY | 574 | $97K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,164 | — |
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.