| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | KAISER FOUNDATION HEALTH PLAN INC | $31K | — | $31K | 1.39% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE, INC. | 9713 KEY WEST AVENUE ROCKVILLE, MD 20850 | KAISER FOUNDATION HEALTH PLAN INC | $15K | — | $15K | 0.66% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA INC | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $32K | $32K | 2.51% |
| THE INSURANCE EXCHANGE INC3 Filed as: INSURANCE EXCHANGE INC | 9713 KEY WEST AVENUE SUITE 401 ROCKVILLE, MD 20850 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $17K | $17K | 1.34% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | KAISER FOUNDATION HEALTH PLAN INC | $5K | — | $5K | 1.46% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE, INC. | 9713 KEY WEST AVENUE ROCKVILLE, MD 20850 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 0.62% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKEBROOK DRIVE SUITE 300 GARY ALLEN, VA 23060 | PAN-AMERICAN LIFE INSURANCE COMPANY | $15K | $3K | $18K | 9.19% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE, INC. | 9713 KEY WEST AVENUE SUITE 401 ROCKVILLE, MD 20850 | PAN-AMERICAN LIFE INSURANCE COMPANY | $8K | — | $8K | 3.87% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA | 4951 LAKEBROOK DRIVE SUITE 300 GARY ALLEN, VA 23060 | PAN-AMERICAN LIFE INSURANCE COMPANY | $6K | $944 | $7K | 8.43% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE, INC. | 9713 KEY WEST AVENUE SUITE 401 ROCKVILLE, MD 20850 | PAN-AMERICAN LIFE INSURANCE COMPANY | $4K | — | $4K | 4.22% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKEBROOK DRIVE SUITE 300 GARY ALLEN, VA 23060 | PAN-AMERICAN LIFE INSURANCE COMPANY | $7K | — | $7K | 10.61% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE, INC | 9713 KEY WEST AVENUE SUITE 401 ROCKVILLE, MD 20850 | PAN-AMERICAN LIFE INSURANCE COMPANY | $624 | — | $624 | 1.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DRIVE GLEN ALLEN, VA 23060 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | — | $2K | 3.09% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE, INC. | 9713 KEY WEST AVENUE ROCKVILLE, MD 20850 | PAN-AMERICAN LIFE INSURANCE COMPANY | $4K | — | $4K | 9.36% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKEBROOK DRIVE SUITE 300 GARY ALLEN, VA 23060 | PAN-AMERICAN LIFE INSURANCE COMPANY | $1K | — | $1K | 2.30% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(8 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 460 | $4.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 460 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.