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Sponsor portfolioWelfare / HealthEIN 84-4962567

DIVERGENT DENTAL GROUP, LLC

111 S ALBANY AVE STE 100 · TAMPA, FL 336061780
8135681197
Plans filed
1
Years active
2023–2024
Industry
NAICS 62
Latest filing
2024
Total premiums (latest)
$749K
No prior year
Persons covered
112
No prior year
Total participants
85
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$749K
DIVERGENT DENTAL GROUP, LLC WELFARE BENEFIT PLAN
Fully insured112 covered·2 carriers
Primary: BLUE CROSS AND BLUE SHEILD OF FLORIDA

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$622K54.9%
Vision$128K11.3%
Life$128K11.3%
Short-term disability$128K11.3%
Long-term disability$128K11.3%

Carrier overview

2 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
BLUE CROSS OF CALIFORNIA
EIN 592015694
H
$622K83.0%1143
PRINCIPAL LIFE INSURANCE COMPANY
EIN 420127290
VLSTDLTD
$128K17.0%11112

Broker overview

3 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
EXCALIBUR FINANCIAL GROUPTAMPA, FLBLUE CROSS AND BLUE SHEILD OF FLORIDA, PRINCIPAL LIFE INSURANCE COMPANY$42K$3K$45K70.6%1
WILLIAM A GRAHAM COMPANYTAMPA, FLPRINCIPAL LIFE INSURANCE COMPANY$9K$0$9K14.7%1
ROBERT FABRIZIOTAMPA, FLPRINCIPAL LIFE INSURANCE COMPANY$9K$0$9K14.7%1

History & trajectory

2 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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