| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 4840 COX ROAD, SUITE 150 GLEN ALLEN, VA 23060 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $23K | $23K | 2.48% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $1K | $15K | 13.18% |
| USI INSURANCE SERVICES LLC3 | 8000 NORMAN CENTER DRIVE, SUITE 400 BLOOMINGTON, MN 55437 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $41 | $41 | 0.04% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BEACH, VA 23466 | DELTA DENTAL OF VIRGINIA | $4K | $0 | $4K | 4.97% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BEACH, VA 23466 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 9.02% |
| MCIHELLE D. HYDE LAWSON3 | PO BOX 443 LOVINGSTON, VA 22949 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 6.12% |
| LAYNE FINANCIAL INC3 Filed as: LAYNE FINANCIAL INC. | 315 GREEN RIDGE ROAD, SUITE H-1 NEW CASTLE, PA 16105 | TRANSAMERICA LIFE INSURANCE COMPANY | $902 | $0 | $902 | 3.54% |
| MICHAEL R MARTIN3 Filed as: MICHAEL R. MARTIN | 47 STONEWALL DRIVE DALEVILLE, VA 24083 | TRANSAMERICA LIFE INSURANCE COMPANY | $278 | $0 | $278 | 1.09% |
| MCIHELLE D. HYDE LAWSON3 Filed as: MCIHELLE DAWN HYDE LAWSON | PO BOX 443 LOVINGSTON, VA 22949 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.24% |
| USI INSURANCE SERVICES LLC3 | 4840 COX ROAD, SUITE 150 GLEN ALLEN, VA 23060 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 5.62% |
| LAYNE FINANCIAL INC3 Filed as: LAYNE FINANCIAL INC. | 3009 WILMIGNTON ROAD SUITE 100 NEW CASTLE, PA 16105 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $639 | $0 | $639 | 2.99% |
| MRM & ASSOCS OF AMERICA LTD3 Filed as: MRM AND ASSOCS. OF AMERICA LTD | 762 CHAPEL RIDGE DRIVE PITTSBORO, NC 27312 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $257 | $0 | $257 | 1.20% |
| MJ INSURANCE3 Filed as: MARGARET WEEKLY AND VARIOUS AGENTS | 172 ROSEN LANE STAUNTON, VA 24401 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $54 | $0 | $54 | 0.25% |
| BRIAN OBAL3 | 3190 FAIRVIEW PARK DRIVE, SUITE 40 FALLS CHURCH, VA 22042 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $0 | $45 | $45 | 0.21% |
| TABITHA ANGLE3 Filed as: TABITHA RENEE ANGLE | 2767 WAGON TRAIL ROAD RIDGEWAY, VA 24148 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $29 | $0 | $29 | 0.14% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | PO BOX 203491 DALLAS, TX 75320 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $1K | $0 | $1K | 8.63% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BEACH, VA 23466 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $886 | $0 | $886 | 6.35% |
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 | 143 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 145 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 118 | $917K |
| Dental | DELTA DENTAL OF VIRGINIA | 196 | $84K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 177 | $14K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 213 | $114K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 213 | $114K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 213 | $114K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 118 | $917K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 213 | $161K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 213 | — |
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."
No prospect flags tripped on this filing.