| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: DIGITAL INSURANCE AGENCY INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) | $91K | — | $91K | 5.48% |
| STEVEN DRISS INSURANCE AGENCY3 | 17525 VENTURA BLVD., SUITE 206 ENCINO, CA 91316 | CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) | $9K | — | $9K | 0.52% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $3K | $9K | 15.51% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $2K | $9K | 16.47% |
| STEVEN DRISS INSURANCE AGENCY3 | 17525 VENTURA BLVD., SUITE 206 ENCINO, CA 91316 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $727 | — | $727 | 1.28% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $3K | $5K | 10.81% |
| STEVEN DRISS INSURANCE AGENCY3 | 17525 VENTURA BLVD., SUITE 206 ENCINO, CA 91316 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $107 | — | $107 | 0.22% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | VISION SERVICE PLAN | $1K | — | $1K | 4.58% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $569 | $4K | 21.65% |
| STEVEN DRISS INSURANCE AGENCY3 | 17525 VENTURA BLVD., SUITE 206 ENCINO, CA 91316 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $296 | — | $296 | 1.79% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $358 | $2K | 17.04% |
| STEVEN DRISS INSURANCE AGENCY3 | 17525 VENTURA BLVD., SUITE 206 ENCINO, CA 91316 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $134 | — | $134 | 1.22% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $662 | $149 | $811 | 16.75% |
| STEVEN DRISS INSURANCE AGENCY3 | 17525 VENTURA BLVD., SUITE 206 ENCINO, CA 91316 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $65 | — | $65 | 1.34% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $175 | $34 | $209 | 16.48% |
| STEVEN DRISS INSURANCE AGENCY3 | 17525 VENTURA BLVD., SUITE 206 ENCINO, CA 91316 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $16 | — | $16 | 1.26% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $228 | $39 | $267 | 21.45% |
| STEVEN DRISS INSURANCE AGENCY3 | 17525 VENTURA BLVD., SUITE 206 ENCINO, CA 91316 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $21 | — | $21 | 1.69% |
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 | 291 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 292 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) | 326 | $1.7M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 195 | $109K |
| Vision | VISION SERVICE PLAN | 156 | $31K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 291 | $21K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 290 | $11K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 290 | $57K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) | 326 | $1.7M |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 291 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 326 | — |
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.