| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 400 GALLERIA PKWY STE 300 ATLANTA, GA 30339 | BLUE CROSS BLUE SHIELD | $32K | $1K | $33K | 4.26% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| NORA GARCIA ELLEDGE3 | 199 COVE DRIVE COPPELL, TX 75019 | AFLAC | $1K | — | $1K | 5.46% |
| CELIA A BARRAZA3 | 3418 IVANHOE LN. GARLAND, TX 75044 | AFLAC | $338 | — | $338 | 1.52% |
| DENNIS M COPLAND3 | 9330 LYNDON B JOHNSON FWY, STE 1125 DALLAS, TX 75243 | AFLAC | $241 | — | $241 | 1.08% |
| MICHAEL FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $238 | — | $238 | 1.07% |
| JEANNETTE E FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $181 | — | $181 | 0.81% |
| ISMAEL A BARRAZA3 | 3418 IVANHOE LN. GARLAND, TX 75044 | AFLAC | $151 | — | $151 | 0.68% |
| JOHN DEE MAULDIN3 | 3209 PHAETON CT PLANO, TX 75023 | AFLAC | $147 | — | $147 | 0.66% |
| BRETT MERLYN BIGELOW3 | 20965 N 81ST DR PEORIA, AZ 85382 | AFLAC | $98 | — | $98 | 0.44% |
| MICHAEL B MURPHY3 | 3616 SNAPDRAGON LN MCKINNEY, TX 75070 | AFLAC | $79 | — | $79 | 0.36% |
| FRANKLIN R DAVIES3 Filed as: FRANKLIN DAVIES | 201 ROYAL ABERDEEN WAY MCKINNEY, TX 75070 | AFLAC | $79 | — | $79 | 0.36% |
| LAURIE LYNN WEST3 | 21801 NORTHCREST DR, APT 2217 SPRING, TX 77388 | AFLAC | $72 | — | $72 | 0.32% |
| KENNETH MICHAEL BENNETT3 | 5826 NEW TERRITORY BLVD 730 SUGAR LAND, TX 77479 | AFLAC | $64 | — | $64 | 0.29% |
| SHARYL K BATHE3 | 1816 BROADWAY AVE MATTOON, IL 61938 | AFLAC | $60 | — | $60 | 0.27% |
| JUDY LAFEMINA3 | PO BOX 2129 FRISCO, TX 75034 | AFLAC | $57 | — | $57 | 0.26% |
| GAY M HUNDLEY3 | 620 TAYLOR TRL MURPHY, TX 75094 | AFLAC | $45 | — | $45 | 0.20% |
| ROBERT PERRY EVANS JR3 Filed as: ROBERT PERRY EVANS JR. | 1031 SADDLEBROOK DR LUCAS, TX 75002 | AFLAC | $44 | — | $44 | 0.20% |
| RALPH B WORTH3 | 2848 S CLUB OAK DR FAYETTEVILLE, AR 72701 | AFLAC | $43 | — | $43 | 0.19% |
| STEVEN B KEMPTON3 | 2570 ELDORADO PKWY STE 130 MCKINNEY, TX 75070 | AFLAC | $35 | — | $35 | 0.16% |
| DAVID HANCOCK INC3 Filed as: DAVID HANCOCK INC. | PO BOX 423 LAVON, TX 75166 | AFLAC | $29 | — | $29 | 0.13% |
| RAND G SIMKINS3 | 1237 SHAWNEE TRL CARROLLTON, TX 75007 | AFLAC | $25 | — | $25 | 0.11% |
| BILLY DALE ELKINS3 | 1024 BOURLAND ROAD KELLER, TX 76248 | AFLAC | $24 | — | $24 | 0.11% |
| SCOTT WEBB | 2355 W PINNACLE PEAK RD STE 380 PHOENIX, AZ 85027 | AFLAC | $22 | — | $22 | 0.10% |
| H PATRICK BRUMLEY3 | 4 GLENDALE CT TROPHY CLUB, TX 76262 | AFLAC | $19 | — | $19 | 0.09% |
| JULIE E CONDRY3 | 10418 S VANDALIA AVE TULSA, OK 74137 | AFLAC | $17 | — | $17 | 0.08% |
| CHRISTA HOLBERT Filed as: CHRISTA N. HOLBERT | 6857 WOODSTOCK RD FORT WORTH, TX 76116 | AFLAC | $17 | — | $17 | 0.08% |
| JAMES COLEMAN BAKER3 Filed as: JAMES C BAKER | 4401 SOUTHLAND BLVD SAN ANGELO, TX 76904 | AFLAC | $11 | — | $11 | 0.05% |
| STEVEN M HANCOCK3 | 459 COOLIDGE LN LAVON, TX 75166 | AFLAC | $10 | — | $10 | 0.04% |
| CRAIG S DAVIES3 | 109 TIMBER CREEK CT ARGYLE, TX 76226 | AFLAC | $10 | — | $10 | 0.04% |
| LYNN S WILSON3 | 16135 AMBERWOOD RD DALLAS, TX 75248 | AFLAC | $9 | — | $9 | 0.04% |
| JOE A DEPASQUAL3 | 403 N FM 113 WEATHERFORD, TX 76088 | AFLAC | $7 | — | $7 | 0.03% |
| MICHAEL A SIMPSON3 | 1318 MONTGOMERY LANE SOUTHLAKE, TX 76092 | AFLAC | $7 | — | $7 | 0.03% |
| ROBERT JOSEPH FATHERREE3 | 5001 PAR DR, APT 4013 DENTON, TX 76208 | AFLAC | $7 | — | $7 | 0.03% |
| MAGGIE MIDDLETON3 | PO BOX U ELDORADO, TX 76936 | AFLAC | $3 | — | $3 | 0.01% |
| T ALLEN HOWDESHELL3 | 1405 SHANNAN CIR APT 103 GRANBURY, TX 76048 | AFLAC | $2 | — | $2 | 0.01% |
| MYRTLE C MURRAY3 | 236 E SHADY LN MURCHISON, TX 75778 | AFLAC | $1 | — | $1 | 0.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $494 | $3K | 17.89% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $542 | $3K | 18.93% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $292 | $2K | 18.26% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $283 | $2K | 18.47% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 400 GALLERIA PKWY SE STE 300 ATLANTA, GA 30339 | VISION SERVICE PLAN | $683 | — | $683 | 8.38% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | VISION SERVICE PLAN | $132 | — | $132 | 1.62% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $189 | — | $189 | 10.02% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $234 | $78 | $312 | 20.04% |
| ERIK G LILJENWALL3 Filed as: ERIK G. LILJENWALL | 4907 FAST FOX AUSTIN, TX 78746 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1 | — | $1 | 0.06% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN J. MCGURRAN | 2411 N. HALL ST #17 DALLAS, TX 75204 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1 | — | $1 | 0.06% |
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 | 119 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 184 | $785K |
| Dental(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 60 | $51K |
| Vision | VISION SERVICE PLAN | 63 | $8K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 134 | $17K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 51 | $9K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 51 | $8K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD | 184 | $785K |
| Other(5 contracts, 4 carriers) | AFLAC | 134 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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.
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.