| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JEFFREY FALLICK3 | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | DEAN HEALTH PLAN INC. | $10K | — | $10K | 1.19% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | HARTFORD LIFE AND ACCIDENT | $7K | $10K | $17K | 2.13% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | HARTFORD LIFE AND ACCIDENT | $8K | — | $8K | 1.01% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC | 200 GALLERIA PARKWAY ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN INC | $12K | — | $12K | 2.61% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC | 750 B STE 2400 SAN DIEGO, CA 921012476 | KAISER FOUNDATION HEALTH PLAN INC | $7K | — | $7K | 1.66% |
| NUA GROUP LLC3 | 4100 REDWOOD RD 20A-506 OAKLAND, CA 94619 | KAISER FOUNDATION HEALTH PLAN INC | $36 | — | $36 | 0.01% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC | 200 GALLERIA PARKWAY ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN INC | $13K | — | $13K | 2.96% |
| MCGRIFF INSURANCE SERVICES INC3 | 750 B STE 2400 SAN DIEGO, CA 921012476 | KAISER FOUNDATION HEALTH PLAN INC | $10K | — | $10K | 2.22% |
| MCGRIFF INSURANCE SERVICES INC3 | 4480 WILLOW ROAD SUITE 110 PLEASANTON, CA 95488 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $8K | — | $8K | 2.80% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $6K | — | $6K | 2.25% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | AETNA LIFE INSURANCE COMPANY | $3K | — | $3K | 2.93% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | AETNA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.64% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | VISION SERVICE PLAN | $4K | — | $4K | 5.47% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | VISION SERVICE PLAN | $2K | — | $2K | 3.51% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | ARAG INSURANCE COMPANY | $1K | — | $1K | 5.72% |
| MCGRIFF INSURANCE SERVICES INC3 | 3318 W FRIENDLY AVE 2ND FLOOR GREENSBORO, NC 27410 | ARAG INSURANCE COMPANY | $1K | — | $1K | 4.28% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 13941 DURHAM, NC 27709 | COMBINED INSURANCE COMPANY | $751 | — | $751 | 31.78% |
| LONG TERM CARE SOLUTIONS, INC.3 Filed as: LONG TERM CARE SOLUTIONS | — | COMBINED INSURANCE COMPANY | $326 | — | $326 | 13.80% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | COMBINED INSURANCE COMPANY | $73 | — | $73 | 3.09% |
| MCGRIFF INSURANCE SERVICES INC3 | PO 13941 DURHAM, NC 27709 | FEDERAL INSURANCE COMPANY | $0 | — | $0 | — |
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 | 632 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 637 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | DEAN HEALTH PLAN INC. | 167 | $2.0M |
| Dental | AETNA LIFE INSURANCE COMPANY | 324 | $93K |
| Vision | VISION SERVICE PLAN | 534 | $71K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 622 | $801K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 622 | $801K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 622 | $801K |
| Prescription drug(4 contracts, 3 carriers) | DEAN HEALTH PLAN INC. | 167 | $2.0M |
| Other(5 contracts, 5 carriers) | HARTFORD LIFE AND ACCIDENT | 632 | $830K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 632 | — |
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.