| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MANAGED BENEFITS, INC.3 | 4900 COX ROAD SUITE 170 GLEN ALLEN, VA 23060 | HEALTHKEEPERS, INC. | $43K | — | $43K | 3.10% |
| MANAGED BENEFITS, INC.3 | 4900 COX ROAD SUITE 170 GLEN ALLEN, VA 23060 | DELTA DENTAL OF VIRGINIA | $14K | — | $14K | 9.97% |
| MANAGED BENEFITS, INC.3 | 4900 COX ROAD SUITE 170 GLEN ALLEN, VA 23060 | VSP | $1K | — | $1K | 5.47% |
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 | 279 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 279 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA | 184 | $997K |
| Dental | DELTA DENTAL OF VIRGINIA | 406 | $137K |
| Vision | VSP | 175 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 406 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.