| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | PO BOX 62814 ATTN MOUNTAN VIRGINIA BEACH, VA 23466 | ANTHEM HEALTH PLANS OF VIRGINIA, INC | $24K | — | $24K | 1.19% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | 959 SKYWAY RD SANCARLOS, CA 94070 | ANTHEM LIFE INSURANCE COMPANY | $11K | — | $11K | 5.34% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | 213 S JEFFERSON STREET SW ROANOKE, VA 24011 | ANTHEM LIFE INSURANCE COMPANY | $623 | $8K | $8K | 4.12% |
| USI INSURANCE SERVICES LLC3 | — | ANTHEM HEALTH PLANS OF VIRGINIA DENTAL PROGRAMS | $9K | — | $9K | 7.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | PO BOX 62814 ATTN MOUNTAN VIRGINIA BEACH, VA 23466 | UNICARE LIFE & HEALTH INSURANCE COMPANY | $826 | — | $826 | 4.84% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | 200 W CYPRESS CREEK RD #500 FORT LAUDERDALE, FL 33309 | UNICARE LIFE & HEALTH INSURANCE COMPANY | $586 | $94 | $680 | 3.99% |
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 | 157 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 157 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA, INC | 270 | $2.0M |
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA DENTAL PROGRAMS | 142 | $129K |
| Vision | UNICARE LIFE & HEALTH INSURANCE COMPANY | 239 | $17K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 157 | $204K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 157 | $204K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 157 | $204K |
| Other(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 160 | $206K |
| 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."
No prospect flags tripped on this filing.