| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | 213 SOUTH JEFFERSON STREET SW ROANOKE, VA 24011 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $6K | — | $6K | 1.93% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY EASTERN STATES INC | 333 WEST 34TH STREET NEW YORK, NY 10001 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 4.25% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY EASTERN STATES INC | 1920 N STREET NW WASHINGTON, DC 20036 | HARTFORD LIFE AND ACCIDENT | — | $1K | $1K | 1.31% |
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO EASTERN STATES INC | 333 W 34TH STREET NEW YORK, NY 10001 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $4K | — | $4K | 11.05% |
| SISBON CONSULTING3 | 333 WEST 34TH STREET NEW YORK, NY 10001 | EYEMED VISION CARE | $1K | — | $1K | 8.87% |
| VARNEY & COMPANY BENEFITS ADVISORS3 Filed as: USA INSURANCE SERVICE NATIONAL INC | 9020 STONY POINT PARKWAY SUITE 100 RICHMOND, VA 23235 | DELTA DENTAL OF VIRGINIA | $842 | — | $842 | 6.89% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVIES NATIONAL, INC | 9020 STONY POINT PARKWAY SUITE 100 RICHMOND, VA 23235 | DELTA DENTAL OF VIRGINIA | $387 | — | $387 | 14.97% |
| FLEURY ENTERPRISES INC3 | 162 INDIAN POINT ROAD TIVERTON, RI 02878 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $193 | — | $193 | 9.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK & MARAN ASSOCIATES INC | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $95 | — | $95 | 4.44% |
| VENESSA N DEAN3 | 3600 SOUTH OCEAN BLVD SOUTH PALM BEACH, FL 33480 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $54 | — | $54 | 2.52% |
| PENELOPE ELLEN DEAN3 | 3600 OCEAN BLVD S PALM BEACH, FL 33480 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $27 | — | $27 | 1.26% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E BERG | 319 THOMASTON ROAD WATERTOWN, CT 06795 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.23% |
| DAVID L FLEURY3 Filed as: DAVID L FLUERY | 162 INDIAN POINT ROAD TIVERTON, RI 02878 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.14% |
| FLEURY ENTERPRISES INC3 | 162 INDIAN POINT ROAD TIVERTON, RI 02878 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $72 | — | $72 | 10.21% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN AND ASSOCIATES INC | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $33 | — | $33 | 4.68% |
| VENESSA N DEAN3 | 3555 SOUTH OCEAN BLVD SOUTH PALM BEACH, FL 33480 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 3.12% |
| PENELOPE ELLEN DEAN3 | 3555 S OCEAN BLVD APT 215 S PALM BEACH, FL 33480 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 1.28% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E BERG | 319 THOMASTON ROAD WATERTOWN, CT 06795 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.57% |
| DAVID L FLEURY3 Filed as: DAVID L FLUERY | 162 INDIAN POINT ROAD TIVERTON, RI 02878 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.14% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN AND ASSOCIATES INC | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $33 | — | $33 | 4.68% |
| VENESSA N DEAN3 | 3555 SOUTH OCEAN BLVD SOUTH PALM BEACH, FL 33480 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 3.12% |
| PENELOPE ELLEN DEAN3 | 3555 S OCEAN BLVD APT 215 S PALM BEACH, FL 33480 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 1.28% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E BERG | 319 THOMASTON ROAD WATERTOWN, CT 06795 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.57% |
| FLEURY ENTERPRISES INC3 | 162 INDIAN POINT ROAD TIVERTON, RI 02878 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.43% |
| DAVID L FLEURY3 Filed as: DAVID L. FLUERY | 162 INDIAN POINT ROAD TIVERTON, RI 02878 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.14% |
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 | 182 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 182 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 96 | $301K |
| Dental(2 contracts) | DELTA DENTAL OF VIRGINIA | 61 | $15K |
| Vision | EYEMED VISION CARE | 223 | $15K |
| Life insurance(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 182 | $89K |
| Short-term disability(2 contracts) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 4 | $3K |
| Long-term disability | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 118 | $33K |
| Other(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 182 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 223 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.