| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | — | $83 | $83 | 0.01% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF NEVADA LLC | 375 E. WARM SPRINGS ROAD, SUITE 201 LAS VEGAS, NV 89119 | AETNA LIFE INSURANCE CO. | $33K | — | $33K | 4.05% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | AETNA LIFE INSURANCE CO. | $6K | — | $6K | 0.68% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF NEVADA LLC | 375 E. WARM SPRINGS ROAD, SUITE 201 LAS VEGAS, NV 89119 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $26K | $3K | $29K | 8.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $10K | — | $10K | 2.66% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF NEVADA LLC | 5985 HOME GARDENS DRIVE, SUITE A RENO, NV 895026276 | KAISER FOUNDATION HEALTH PLAN INC. | $7K | — | $7K | 4.06% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | KAISER FOUNDATION HEALTH PLAN INC. | $861 | — | $861 | 0.52% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF NEVADA LLC | 375 E. WARM SPRINGS ROAD, SUITE 201 LAS VEGAS, NV 89119 | AETNA HEALTH, INC. | $4K | — | $4K | 3.28% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | AETNA HEALTH, INC. | $788 | — | $788 | 0.60% |
| NATIONAL HEALTH CARE ACCE3 | 139 E. WARM SPRINGS ROAD LAS VEGAS, NV 89119 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 7.15% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 7755 IRVINE CENTER DRIVE 5TH FLOOR IRVINE, CA 92618 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 2.85% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF NEVADA LLC | 5985 HOME GARDENS DRIVE, SUITE A RENO, NV 895026276 | KAISER FOUNDATION HEALTH PLAN INC. | $503 | — | $503 | 3.14% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | KAISER FOUNDATION HEALTH PLAN INC. | $199 | — | $199 | 1.24% |
| NATIONAL HEATH CARE ACCE3 | 139 E. WARM SPRINGS ROAD LAS VEGAS, NV 89119 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $391 | — | $391 | 6.39% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 7755 IRVINE CENTER DRIVE 5TH FLOOR IRVINE, CA 92618 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $221 | — | $221 | 3.61% |
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 | 1,162 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,168 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(10 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 355 | $7.3M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 673 | $450K |
| Vision(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 673 | $450K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 754 | $40K |
| Prescription drug(10 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 355 | $7.3M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 754 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 754 | — |
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."
No prospect flags tripped on this filing.