| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND | 540 FORT EVANS RD., STE. 301 LEESBURG, VA 20176 | SUN LIFE ASSURANCE COMPANY OF CANADA | $57K | — | $57K | 26.27% |
| THE FRIEDEN AGENCY INC3 Filed as: FRIEDEN AGENCY LLC | 3 COMMERCIAL PL., STE. 1600 NORFOLK, VA 23510 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $6K | $725 | $6K | 8.48% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND | 540 FORT EVANS RD. NE, STE. 301 LEESBURG, VA 20176 | AMERITAS LIFE INSURANCE CORP. | $601 | — | $601 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ACCOUNTABLE CARE MANAGEMENT GROUP EIN 47-4083551 THIRD PARTY ADMINISTRATO | Contract Administrator; Claims processing Service code 12 | — | $157K |
| HILB GROUP OF MARYLAND BROKER | Insurance services; Insurance agents and brokers; Other commissions Service code 22 | 540 FORT EVANS RD., SUITE 301 LEESBURG, VA 20176 | $49K |
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 | 223 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 224 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 242 | $75K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 270 | $12K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 223 | $217K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 223 | $217K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 223 | $217K |
| Stop-loss / reinsurancereinsurance | AMERICAN FIDELITY ASSURANCE COMPANY | 211 | $317K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 223 | $217K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 270 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.