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Form 5500 · Employee benefit plan · TAMPA, FL

DIVERGENT DENTAL GROUP, LLC

Public Form 5500 records show how DIVERGENT DENTAL GROUP, LLC (TAMPA, FL) structures its employee benefits. Its broker of record is EXCALIBUR FINANCIAL GROUP, INC.. Coverage is written through BLUE CROSS AND BLUE SHEILD OF FLORIDA and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-4962567 · plan 501 · as of Jul 2026

Participants
107
Carriers on file
2
Disclosed commissions
$60,430
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
BLUE CROSS AND BLUE SHEILD OF FLORIDAHealth43December$41,720
PRINCIPAL LIFE INSURANCE COMPANYVision, Life, Disability112December$18,710

Questions

Who is DIVERGENT DENTAL GROUP, LLC's benefits broker?

Per its most recent Form 5500 Schedule A, DIVERGENT DENTAL GROUP, LLC's broker of record is EXCALIBUR FINANCIAL GROUP, INC..

What insurance carrier does DIVERGENT DENTAL GROUP, LLC use?

DIVERGENT DENTAL GROUP, LLC's benefit plan is written through BLUE CROSS AND BLUE SHEILD OF FLORIDA, among 2 disclosed carriers.

When does DIVERGENT DENTAL GROUP, LLC's group plan renew?

The most recent Schedule A policy period for DIVERGENT DENTAL GROUP, LLC ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from DIVERGENT DENTAL GROUP, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.