| 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 | MODA HEALTH PLAN, INC. | $9K | — | $9K | 2.23% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INS INC | 10800 BISCAYNE BLVD STE 850 MIAMI, FL 331617428 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 7.68% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INS INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 303395946 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $3K | $3K | 4.60% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 303395946 | VISION SERVIE PLAN | $1K | — | $1K | 5.85% |
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 | 194 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 194 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MODA HEALTH PLAN, INC. | 0 | $394K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 301 | $70K |
| Vision | VISION SERVIE PLAN | 271 | $17K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 301 | $70K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 301 | $70K |
| Prescription drug | MODA HEALTH PLAN, INC. | 0 | $394K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 301 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 301 | — |
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.