| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENTENTE ADMINISTRATORS, LLC3 Filed as: ENTENTE ADMINISTRATORS LLC | 228 BROOKHOLLOW DR OLD HICKORY, TN 37138 | CALIFONRIA PHYSICIANS SERVICE | $45K | $0 | $45K | 5.73% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | CALIFONRIA PHYSICIANS SERVICE | $28K | $0 | $28K | 3.56% |
| ENTENTE ADMINISTRATORS, LLC3 Filed as: ENTENTE ADMINISTRATORS LLC | 228 BROOKHOLLOW OLD HICKORY, TN 37138 | KAISER FOUNDATION HEALTH PLAN | $4K | $0 | $4K | 3.72% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN | $2K | $0 | $2K | 1.59% |
| ENTENTE ADMINISTRATORS, LLC3 Filed as: ENTENTE ADMINISTRATORS LLC | 228 BROOKHOLLOW DR OLD HICKORY, TN 37138 | ANTHEM BLUE CROSS LIFE & HEALTH INSURANCE COMPANY | $750 | $0 | $750 | 0.84% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | ANTHEM BLUE CROSS LIFE & HEALTH INSURANCE COMPANY | $322 | $0 | $322 | 0.36% |
| ENTENTE ADMINISTRATORS, LLC3 Filed as: ENTENTE ADMINISTRATORS LLC | 228 BROOKHOLLOW DR OLD HICKORY, TN 37138 | HARTFORD LIFE & ACCIDENT | $3K | $0 | $3K | 10.50% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD HAUPPAUGE, NY 11788 | HARTFORD LIFE & ACCIDENT | $0 | $2K | $2K | 5.99% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | HARTFORD LIFE & ACCIDENT | $1K | $0 | $1K | 4.50% |
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 | 128 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFONRIA PHYSICIANS SERVICE | 85 | $895K |
| Dental | ANTHEM BLUE CROSS LIFE & HEALTH INSURANCE COMPANY | 125 | $89K |
| Vision | ANTHEM BLUE CROSS LIFE & HEALTH INSURANCE COMPANY | 125 | $89K |
| Life insurance | HARTFORD LIFE & ACCIDENT | 128 | $29K |
| Long-term disability | HARTFORD LIFE & ACCIDENT | 128 | $29K |
| Prescription drug(2 contracts, 2 carriers) | CALIFONRIA PHYSICIANS SERVICE | 85 | $895K |
| Other | HARTFORD LIFE & ACCIDENT | 128 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 128 | — |
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.