| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $51K | $51K | 4.31% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 400 GALLERIA PARKWAY SE, SUITE 300 ATLANTA, GA 30339 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 7.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 10.00% |
| BARBARA S HERMES3 Filed as: BARBARA S. HERMES | 156 PRAIRIE DUNE WAY ORLANDO, FL 32826 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 13.15% |
| THE PERRY GROUP INC3 Filed as: THE PERRY GROUP, INC. | 1650 SAND LAKE ROAD, SUITE 201D ORLANDO, FL 32809 | CONTINENTAL AMERICAN INSURANCE COMPANY | $398 | — | $398 | 1.91% |
| MJ INSURANCE3 Filed as: DIGITAL INS INC. AND VARIOUS AGENTS | 400 GALLERIA PARKWAY, SUITE 300 ATLANTA, GA 30339 | CONTINENTAL AMERICAN INSURANCE COMPANY | $137 | — | $137 | 0.66% |
| NEENA W BEVERLY3 Filed as: NEENA W. BEVERLY | 11521 SOUTH BLACK FOREST DRIVE SANDY, UT 84094 | CONTINENTAL AMERICAN INSURANCE COMPANY | $118 | — | $118 | 0.57% |
| MFK & ASSOCIATES INC3 Filed as: MFK AND ASSOCIATES | 156 TUSKAWILLA ROAD, SUITE 2352 WINTER SPRINGS, FL 32708 | CONTINENTAL AMERICAN INSURANCE COMPANY | $108 | — | $108 | 0.52% |
| MARY ANN PHELPS3 | 2329 ROCHELLE AVENUE KISSIMMEE, FL 34746 | CONTINENTAL AMERICAN INSURANCE COMPANY | $43 | — | $43 | 0.21% |
| LESLIE K KIMBROUGH3 Filed as: LESLIE K. KIMBROUGH | PO BOX 623557 OVIEDO, FL 32762 | CONTINENTAL AMERICAN INSURANCE COMPANY | $42 | — | $42 | 0.20% |
| ENROLLEASE3 Filed as: DIGITAL BENEFIT ADVISORS | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | UNITED HEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 15.72% |
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 | 150 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 154 | $1.2M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 116 | $62K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 236 | $18K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 150 | $47K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 89 | $21K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 150 | $47K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 154 | $1.2M |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 150 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 236 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.