| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BAEACH, VA 23466 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2K | $78K | $79K | 3.42% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BAEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $13K | $13K | $26K | 16.13% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BAEACH, VA 23466 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $6K | $0 | $6K | 4.96% |
| USI INSURANCE SERVICES LLC3 | 3190 FAIRVIEW PARK DRIVE, SUITE 400 FALLS CHURCH, VA 22042 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.82% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS LLC | 4433 CORPORATE DRIVE, SUITE A CHANTILLY, VA 50151 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.78% |
| WILLIAM JUDGE JR3 | 2023 BAY STREET BRISTOL, TN 37620 | TRANSAMERICA LIFE INSURANCE COMPANY | $19 | $0 | $19 | 0.03% |
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 | 124 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 124 | $2.3M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 123 | $124K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 124 | $2.3M |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 124 | $219K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 124 | $158K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 124 | $158K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 124 | $2.3M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 124 | $158K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 124 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.