| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 303395946 | PREMERA BLUE CROSS | $63K | $1K | $64K | 5.10% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $85 | $1K | 5.40% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $121 | $2K | 15.61% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $674 | — | $674 | 5.00% |
| THE WRIGHTS BENEFITS LLC3 | 4923 LAKERIDGE DR E LAKE TAPPS, WA 98391 | AFLAC | $798 | $179 | $977 | 12.31% |
| JAMEY MILLER INC3 | 12942 193RD AVE E BONNEY LAKE, WA 98391 | AFLAC | $135 | $32 | $167 | 2.10% |
| DIGITAL INSURANCE LLC3 | 400 GALLERIA PKWY SE STE 300 ATLANTA, GA 30339 | AFLAC | $65 | — | $65 | 0.82% |
| BRANDON PENKO3 Filed as: BRANDON C HOOBLER | 1230 S 336TH ST STE A FEDERAL WAY, WA 98003 | AFLAC | $33 | — | $33 | 0.42% |
| ANNA J HOOBLER3 | 4424 6TH AVE STE C1 TACOMA, WA 98406 | AFLAC | $28 | — | $28 | 0.35% |
| CHARLES H WEISSBERGER3 | 54110 MICHELE LN SHELBY TOWNSHIP, MI 48315 | AFLAC | $17 | — | $17 | 0.21% |
| VICTORIA D LINDSAY3 | 3108 CRANESBILL DR RALEIGH, NC 27613 | AFLAC | $11 | — | $11 | 0.14% |
| SUSAN MENSCHING3 | 3114 W 5TH AVE SPOKANE, WA 99224 | AFLAC | $8 | — | $8 | 0.10% |
| BENJAMIN G FUHRIMAN3 | 1441 N 570 E SHELLEY, ID 83274 | AFLAC | $7 | — | $7 | 0.09% |
| TERESA M ANTHONY3 | 66652 E PEREGRINE PL TUCSON, AZ 85739 | AFLAC | $6 | — | $6 | 0.08% |
| DAVID E CIAMPOLI3 | 1204 BIG OAK DR ALMA, AR 72921 | AFLAC | $6 | — | $6 | 0.08% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS JR | 1431 NE 55TH ST FORT LAUDERDALE, FL 33334 | AFLAC | $5 | — | $5 | 0.06% |
| JORDAN D EMMANS3 | 438 W 26TH AVE SPOKANE, WA 99203 | AFLAC | $4 | — | $4 | 0.05% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY MOGER | 25 SAGELAND EAST WENATCHEE, WA 98802 | AFLAC | $3 | — | $3 | 0.04% |
| TERRY K ALLEN3 | 20930 E HAPPY TRAILS LN OTIS ORCHARDS, WA 99027 | AFLAC | $2 | — | $2 | 0.03% |
| SCOTT W BLACKSHEAR3 | 108 ALSACE CT PONTE VEDRA BEACH, FL 32082 | AFLAC | $2 | — | $2 | 0.03% |
| PAUL B ROBEDEAU3 | 9523 BAY CT CARMEL, CA 93923 | AFLAC | $1 | — | $1 | 0.01% |
| CRAIG A HANSEN3 | 6848 RIVERDALE DR SE TUMWATER, WA 98501 | AFLAC | $1 | — | $1 | 0.01% |
| DAVID J MCCLELLAN3 Filed as: DAVID JOHN HANNANT | 14830 NE 167 ST WOODINVILLE, WA 98072 | AFLAC | $1 | — | $1 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK ST STE 615 CHICAGO, IL 60654 | AFLAC | $0 | — | $0 | 0.00% |
| JOSHUA PAUL GROUP INC3 Filed as: JOSHUA M HELDEROP | 10509 NE 120TH PL KIRKLAND, WA 98034 | AFLAC | $0 | — | $0 | 0.00% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAPTON WOOD DR BOCA RATON, FL 33433 | AFLAC | $0 | — | $0 | 0.00% |
| MITCHELL HECTOR MORALES3 Filed as: MITCHELL PUMPIAN | 225 NE BIRCH ST ISSAQUAH, WA 98027 | AFLAC | $0 | — | $0 | 0.00% |
| JOSEPH C PRICE3 | 4 HILTON WOODS CT COLUMBUS, GA 31906 | AFLAC | $0 | — | $0 | 0.00% |
| AMANDA M GRIFFITH3 | 11400 SE 8TH ST STE 375 BELLEVUE, WA 98004 | AFLAC | $0 | — | $0 | 0.00% |
| MEGAN ELIZABETH CASTO3 Filed as: MEGAN J STEVENSON | 33305 1ST WAY S STE B203 FEDERAL WAY, WA 98003 | AFLAC | $0 | — | $0 | 0.00% |
| RUSSELL W REOPELLE3 | 1211 BILLY FRANK JR ST APT 1 BELLINGHAM, WA 98225 | AFLAC | $0 | — | $0 | 0.00% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $57 | $1K | 21.08% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 303395946 | VISION SERVICE PLAN | $512 | — | $512 | 9.67% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $471 | $37 | $508 | 10.79% |
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 | 213 | 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) | 213 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PREMERA BLUE CROSS | 384 | $1.3M |
| Dental(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 211 | $35K |
| Vision | VISION SERVICE PLAN | 285 | $5K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 347 | $10K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 347 | $16K |
| Prescription drug | PREMERA BLUE CROSS | 384 | $1.3M |
| Other(3 contracts, 2 carriers) | AFLAC | 347 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 384 | — |
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.