| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMWINS3 Filed as: AMWINS CONNECT ADMINISTRATORS INC | 6 NORTH PARK DRIVE SUITE 310 HUNT VALLEY, MD 21030 | ANTHEM HEALTH PLANS OF VIRGINIA INC. | $28K | $6K | $35K | 1.93% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ MT DONAHOE & ASSOC LLC | 9841 BROKEN LAND PARKWAY, SUITE 116 COLUMBIA, MD 21046 | ANTHEM HEALTH PLANS OF VIRGINIA INC. | $172 | $36 | $208 | 0.01% |
| STRATEGIC GROUP BENEFITS LLC3 | 6901 ROCKLEDGE DR SUITE 700 BETHESDA, MD 20817 | DELTA DENTAL OF VIRGINIA | $8K | — | $8K | 7.00% |
| STRATEGIC GROUP BENEFITS LLC3 | 6901 ROCKLEDGE DR SUITE 700 BETHESDA, MD 20817 | GUARDIAN | $11K | — | $11K | 10.05% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE AND FINANCE | 12404 PARK CENTRAL DRIVE SUITE 400 DALLAS, TX 75251 | GUARDIAN | $3K | — | $3K | 3.00% |
| FFG WDC LLC3 | 7101 WISCONSIN AVE SUITE 1200 BETHESDA, MD 20814 | GUARDIAN | $48 | — | $48 | 0.04% |
| STRATEGIC GROUP BENEFITS LLC3 | 6901 ROCKLEDGE DR SUITE 700 BETHESDA, MD 20817 | UNITED HEALTHCARE INSURANCE COMPANY | $252 | — | $252 | 10.00% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC. - MID ATL | 5110 M 40TH ST STE 234 PHOENIX, AZ 85018 | UNITED HEALTHCARE INSURANCE COMPANY | $126 | — | $126 | 5.00% |
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 | 120 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA INC. | 118 | $1.8M |
| Dental | DELTA DENTAL OF VIRGINIA | 296 | $118K |
| Vision(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF VIRGINIA INC. | 118 | $1.8M |
| Life insurance | GUARDIAN | 150 | $111K |
| Short-term disability | GUARDIAN | 150 | $111K |
| Long-term disability | GUARDIAN | 150 | $111K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 296 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.