| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON DUNNING COMPANIES LLC | 2100 ROSS AVENUE SUITE 200 DALLAS, TX 75201 | UNIMERICA INSURANCE COMPANY | $45K | — | $45K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF VIRGINIA INC EIN 54-0357120 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Float revenue; Other services; Contract Administrator Service code 12 | — | $2.9M |
| HEALTHKEEPERS, INC. EIN 54-1356687 NONE | Float revenue; Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $439K |
| CICV EIN 54-0887849 NONE | Plan Administrator; Named fiduciary; Employee (plan) Service code 14 | — | $372K |
| MARSH MCLENNAN EIN 54-2007411 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting fees Service code 15 | — | $236K |
| BUSINESSOLVER, INC. EIN 42-1503807 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $192K |
| LOCKTON EIN 20-3354970 NONE | Direct payment from the plan; Consulting fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $128K |
| DELTA DENTAL OF VIRGINIA EIN 54-0844477 NONE | Contract Administrator Service code 13 | — | $113K |
| MEDIMPACT EIN 33-0567651 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $81K |
| HAYNES BENEFITS EIN 27-0075283 NONE | Legal; Direct payment from the plan; Consulting fees Service code 29 | — | $76K |
| EBIX EIN 77-0021975 NONE | Consulting (general); Direct payment from the plan; Consulting fees Service code 16 | — | $63K |
| HEALTH ADVOCATE SOLUTIONS EIN 23-3080019 NONE | Direct payment from the plan; Consulting (general); Consulting fees Service code 16 | — | $36K |
| BROWN, EDWARDS & COMPANY, L.L.P. EIN 54-0504608 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $20K |
| LD&B INSURANCE AGENCY, INC. EIN 54-0784757 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $17K |
| HARRISON BUILDING, INC. EIN 54-0743269 PART OWNER-BOARD MEMEBER | Direct payment from the plan; Other fees Service code 50 | — | $12K |
| MCGRIFF INSURANCE SERVICES EIN 56-1623293 NONE | Consulting fees; Actuarial; Direct payment from the plan Service code 11 | — | $10K |
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 | 3,348 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 87 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,435 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 6,745 | $85K |
| Dental | DELTA DENTAL OF VIRGINIA | 76 | $21K |
| Vision(2 contracts, 2 carriers) | UNICARE LIFE & HEALTH INSURANCE COMPANY | 6,745 | $390K |
| Stop-loss / reinsurancereinsurance | UNIMERICA INSURANCE COMPANY | 3,418 | $909K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,745 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.