| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE INSURANCE EXCHANCE, INC.3 | 9713 KEY WEST AVE ROCKVILLE, MD 20850 | KAISER FOUNDATION HEALTH PLAN INC | $31K | — | $31K | 2.26% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DR STE 300 GLEN ALLEN, VA 23060 | KAISER FOUNDATION HEALTH PLAN INC | -$18 | — | -$18 | -0.00% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE | 9713 KEY WEST AVENUE SUITE 401 ROCKVILLE, MD 20850 | DELTA DENTAL OF VIRGINIA | $10K | — | $10K | 3.49% |
| BRIAN SHIELDS3 | 7325 BEAUFONT SPRINGS DR RICHMOND, VA 23225 | DELTA DENTAL OF VIRGINIA | $200 | — | $200 | 0.07% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE, INC. | 9713 KEY WEST AVE ROCKVILLE, MD 20850 | KAISER FOUNDATION HEALTH PLAN INC | $5K | — | $5K | 2.30% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE, INC. | 9713 KEY WEST AVE. SUITE 401 ROCKVILLE, MD 20850 | PAN-AMERICAN LIFE INSURANCE COMPANY | $16K | — | $16K | 11.36% |
| THE INSURANCE EXCHANGE INC3 Filed as: INSURANCE EXCHANGE INC (THE) | 9713 KEY WEST AVENUE SUITE 401 ROCKVILLE, MD 20850 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $3K | $18 | $3K | 3.06% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE, INC. | 9713 KEY WEST AVE. SUITE 401 ROCKVILLE, MD 20850 | PAN-AMERICAN LIFE INSURANCE COMPANY | $8K | — | $8K | 11.61% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE | — | HM LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA INC. | 4951 LAKE BROOK DR. #300 GLEN ALLEN, VA 23060 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $8K | — | $8K | 45.40% |
| THE INSURANCE EXCHANCE, INC.3 | 9713 KEY WEST AVE SUITE 401 ROCKVILLE, MD 20874 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $520 | — | $520 | 3.00% |
| THE INSURANCE EXCHANGE INC3 Filed as: THE INSURANCE EXCHANGE | 9713 KEY WEST AVE SUITE 401 ROCKVILLE, MD 20850 | HEALTHIEST YOU | $2K | — | $2K | 15.00% |
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 | 1,438 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 249 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,709 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 224 | $2.8M |
| Dental | DELTA DENTAL OF VIRGINIA | 33 | $292K |
| Vision | HM LIFE INSURANCE COMPANY | 286 | $52K |
| Stop-loss / reinsurancereinsurance(2 contracts) | PAN-AMERICAN LIFE INSURANCE COMPANY | 183 | $208K |
| Other | HEALTHIEST YOU | 55 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 286 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.