| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY STE 1950 ATLANTA, GA 30339 | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | $47K | — | $47K | 2.14% |
| GILSBAR GROUP BENEFITS LLC3 Filed as: GILSBAR GROUP BENEFITS, L.L.C. | 2100 COVINGTON CENTRE COVINGTON, LA 70433 | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | $10K | — | $10K | 0.44% |
| GILSBAR GROUP BENEFITS LLC3 | P. O. BOX 998 COVINGTON, LA 70433 | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | $47K | $17K | $64K | 4.10% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY STE 1950 ATLANTA, GA 30339 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $13K | — | $13K | 5.68% |
| GILSBAR, LLC3 Filed as: GILSBAR LLC | 2100 COVINGTON CENTRE COVINGTON, LA 704332981 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $10K | — | $10K | 4.18% |
| GILSBAR, LLC3 Filed as: GILSBAR, LLC C/O FINANCE DEPT | P. O. BOX 2946 COVINGTON, LA 704342946 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | — | $11K | 12.52% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 195 SCOTTSWAMP RD STE 100 FARMINGTON, CT 06032 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 2.48% |
| GILSBAR, LLC3 Filed as: GILSBAR LLC C/O FINANCE DEPT | P. O. BOX 2946 COVINGTON, LA 70434 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | — | $10K | 12.50% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 195 SCOTTSWAMP RD STE 100 FARMINGTON, CT 06032 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 2.50% |
| GILSBAR, LLC3 Filed as: GILSBAR LLC C/O FINANCE DEPT | P. O. BOX 2946 COVINGTON, LA 704342946 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 12.52% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 195 SCOTTSWAMP RD STE 100 FARMINGTON, CT 06032 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $730 | — | $730 | 2.47% |
| GILSBAR, LLC3 Filed as: GILSBAR LLC C/O FINANCE DEPT | P. O. BOX 2946 COVINGTON, LA 704342946 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 12.52% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 195 SCOTTSWAMP RD STE 100 FARMINGTON, CT 06032 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $205 | — | $205 | 2.49% |
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 | 504 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 511 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | 663 | $3.8M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 364 | $229K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 364 | $229K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 504 | $87K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 504 | $29K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 504 | $80K |
| Prescription drug(2 contracts) | BLUE CROSS AND BLUE SHIELD OF LOUISIANA | 663 | $3.8M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 504 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 663 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.