| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | BLUE CROSS BLUE SHIELD | $29K | — | $29K | 1.14% |
| VERITAS RISK SERVICES3 Filed as: VERITAS RISK SERVICE | 3025 HIGHLAND PKWY STE 650 DOWNERS GROVE, IL 60515 | BLUE CROSS BLUE SHIELD | $9K | $2K | $11K | 0.43% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | SUN LIFE ASSURANCE COMPANY OF CANADA | $114K | — | $114K | 5.35% |
| VERITAS RISK SERVICES3 | 3025 HIGHLAND PKWY STE 650 DOWNERS GROVE, IL 60515 | SUN LIFE ASSURANCE COMPANY OF CANADA | $57K | — | $57K | 2.65% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN INC | $21K | — | $21K | 1.08% |
| ENROLLEASE3 Filed as: VERITAS RISK SERVICES ONE DIGITAL | 3025 HIGHLAND PKWY STE 650 DOWNERS GROVE, IL 60515 | KAISER FOUNDATION HEALTH PLAN INC | $10K | — | $10K | 0.50% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN INC | $6K | — | $6K | 1.00% |
| ENROLLEASE3 Filed as: VERITAS RISK SERVICE ONE DIGITAL | 3025 HIGHLAND PKWY STEE 650 DOWNERS GROVE, IL 60515 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 0.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | $2.2M |
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 | 4,686 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 80 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,766 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 4,350 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,350 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.