No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF VIRGINIA, IN EIN 54-0357120 PPO NETWORK | Claims processing; Contract Administrator; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue Service code 12 | — | $1.7M |
| HINES & ASSOCIATES, INC. EIN 36-3545085 DISEASE MANAGEMENT | Consulting (general) Service code 16 | — | $478K |
| BASYS, INC. EIN 52-1796473 SOFTWARE PROGRAMMER | Other services Service code 49 | — | $252K |
| MICHAEL MCCALL EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $170K |
| MELISSA WETZEL EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $163K |
| EPLAN, LLC EIN 20-3720767 CLAIMS NEGOTIATOR | Other fees Service code 99 | — | $157K |
| HORIZON ACTUARIAL SERVICES, LLC EIN 26-1370698 ACTUARY | Actuarial Service code 11 | — | $143K |
| MATTHEW COHN EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $126K |
| EXPRESS SCRIPTS EIN 43-1420563 PBM | Claims processing Service code 12 | — | $125K |
| STEPTOE & JOHNSON, LLP EIN 52-1349790 ATTORNEY | Legal Service code 29 | — | $113K |
| MORGAN LEWIS EIN 23-0891050 ATTORNEY | Legal Service code 29 | — | $93K |
| SELTEK INC, EIN 20-8012479 COMPUTER NETWORK CONSULTA | Other services Service code 49 | — | $88K |
| ASHLEY MARTIN EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $74K |
| LACLAIRE SANDERS EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| CHRISTINA BAKER EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| BROOKE MCMAHAN EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| TABITHA HINSON EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| LAURA SNEAD EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| JESSICA REED EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| LYNDA SIKES EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| WENDY SPAGNOLO EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $73K |
| JENNIFER BOWLES EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $72K |
| CATHERINE WRIGHT EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $72K |
| CAROL KING EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $71K |
| VELMA HUGHES EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $71K |
| PORSCHA COTMAN EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $71K |
| TAMMY POORE EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $70K |
| KIMBERLY FOXWELL EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $70K |
| BRITTANY CHRISTIANSEN EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $70K |
| TAMMY ELLIS EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $69K |
| COURTNEY VICK EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $69K |
| DELORES RAIGNS EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| WILLIAM JONES EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $68K |
| LOOMIS SAYLES TRUST COMPANY LLC EIN 20-8080381 INVESTMENT MANAGER | Investment management fees paid directly by plan Service code 51 | — | $67K |
| RUTH MCLEAN BRADEN EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $63K |
| KATHRYN ADAMS EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| SARAH MOORE EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| CHRISTOPHER WENDELGEST EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $61K |
| JANET PUTNAM EIN 54-0556299 EMPLOYEE | Employee (plan) Service code 30 | — | $52K |
| SALTER & COMPANY, LLC EIN 20-8078757 AUDITOR | Accounting (including auditing) Service code 10 | — | $44K |
| OPTUMRX, INC EIN 33-0441200 PBM | Claims processing Service code 12 | — | $24K |
| EYE MED VISION CARE EIN 34-1733137 VISION PPO | Claims processing Service code 12 | — | $23K |
| SEGAL ROGERSCASEY EIN 13-2646110 INVESTMENT CONSULTANT | Investment advisory (plan) Service code 27 | — | $23K |
| MELLON CAPITAL MANAGEMENT CORP EIN 25-1442864 INVESTMENT MANAGER | Investment management fees paid directly by plan Service code 51 | — | $21K |
| KOSMERL & COMPANY EIN 23-2872012 AUDITOR | Accounting (including auditing) Service code 10 | — | $14K |
| THE BANK OF NEW YORK MELLON EIN 13-2614959 CUSTODIAN | Custodial (securities) Service code 19 | — | $12K |
| WILLIAM KIRBY ATTORNEY | Legal Service code 29 | 8100 THREE CHOPT ROAD, STE 237 RICHMOND, VA 23229 | $12K |
| W ROBERT DAVIDSON EIN 54-0556299 TRUSTEE | Trustee (individual) Service code 20 | — | $10K |
| JAMES R SMITH EIN 54-0556299 TRUSTEE | Trustee (individual) Service code 20 | — | $9K |
| JAY BOWERS EIN 54-0556299 TRUSTEE | Trustee (individual) Service code 20 | — | $8K |
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 | 3,616 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 268 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,884 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 3,831 | $500K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,831 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.