| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EMPLOYEE BENEFITS CORP OF AMERICA3 Filed as: EMPLOYEE BENEFITS CORP. OF AMERICA | 1410 SPRING HILL RD, STE 150 MCLEAN, VA 22102 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $43K | — | $43K | 2.19% |
| DEAN B GRIFFITH3 Filed as: DEAN B. GRIFFITH | 510 WINDY RIDGE RD FRONT ROYAL, VA 22630 | AFLAC | $4K | $203 | $4K | 6.74% |
| SUSAN L WILLIAMS3 Filed as: SUSAN L. WILLIAMS | 510 WINDY RIDGE RD FRONT ROYAL, VA 22630 | AFLAC | $2K | $203 | $3K | 4.56% |
| JAMES A TAFT JR3 Filed as: JAMES A. TAFT, JR. | 573 CANE RUN ST HARRODSBURG, KY 40330 | AFLAC | $788 | $81 | $869 | 1.55% |
| ROBERT CARTER3 | 95 BERKSHIRE DR FALLING WATERS, WV 25419 | AFLAC | $610 | $81 | $691 | 1.24% |
| BONNIE L TAFT3 Filed as: BONNIE L. TAFT | 573 CANE RUN ST HARRODSBURG, KY 40330 | AFLAC | $317 | — | $317 | 0.57% |
| JAMES ZOMBRO3 | 170 KENTUCKY LANE BERKELEY SPRINGS, WV 25411 | AFLAC | $297 | — | $297 | 0.53% |
| ROBERT B LONG3 Filed as: ROBERT B. LONG | 308 CIRCLE VIEW RD LURAY, VA 22835 | AFLAC | $169 | — | $169 | 0.30% |
| MIL-LIN INC3 | 1640 COMMONWEALTH DR W FRONT ROYAL, VA 22630 | AFLAC | $147 | — | $147 | 0.26% |
| BOYD GLOVER JR3 Filed as: BOYD M. GLOVER, JR. | 69 MOORCLIFFE LN VERONA, VA 24482 | AFLAC | $118 | — | $118 | 0.21% |
| DAVID N MORGAN3 Filed as: DAVID N. MORGAN | 906 MERCHANT LEE PL MANAKIN SABOT, VA 23103 | AFLAC | $108 | — | $108 | 0.19% |
| SHEILA L RAITCH3 Filed as: SHEILA L. RAITCH | 5524 LIBER CT GAINESVILLE, VA 20155 | AFLAC | $100 | — | $100 | 0.18% |
| AMY LEDDON3 | PO BOX 191 SUMERDUCK, VA 22742 | AFLAC | $97 | — | $97 | 0.17% |
| LARRY W SHOWALTER3 Filed as: LARRY W. SHOWALTER | 2515 EAST MARKET ST STE E HARRISONBURG, VA 22801 | AFLAC | $90 | — | $90 | 0.16% |
| MARK WARE3 | 310 SHOREWOOD DR MINERAL, VA 23117 | AFLAC | $86 | — | $86 | 0.15% |
| SARAH H MCNEMAR3 Filed as: SARAH H. MCNEMAR | 1123 PELHAM ST CULPEPER, VA 22701 | AFLAC | $84 | — | $84 | 0.15% |
| RICKY E ROBINSON3 Filed as: RICKY E. ROBINSON | 934 SWEENY DR STE 1 HAGERSTOWN, MD 21740 | AFLAC | $67 | — | $67 | 0.12% |
| THOMAS ROBINSON3 Filed as: THOMAS H. ROBINSON | 81 COTTAGE CT GORDONSVILLE, VA 22942 | AFLAC | $61 | — | $61 | 0.11% |
| TERRY J SILVERS3 Filed as: TERRY J. SILVERS | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $56 | — | $56 | 0.10% |
| THOMAS E HATCHER JR3 Filed as: THOMAS E. HATCHER, JR. | 1588 BAY TREE DR HARRELLS, NC 28444 | AFLAC | $53 | — | $53 | 0.09% |
| BANKERS INSURANCE LLC3 | 4490 COX RD GLEN ALLEN, VA 23060 | AFLAC | $47 | — | $47 | 0.08% |
| DANIEL J LONG3 Filed as: DANIEL LONG | 6100 CHEVY CHASE DR STE 102 LAUREL, MD 20707 | AFLAC | $30 | — | $30 | 0.05% |
| DUANE A ADAMS3 Filed as: DUANE ADAMS | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $28 | — | $28 | 0.05% |
| DANA J A NORRIS3 Filed as: DANA J. A. NORRIS | 4900 ZEPP RD MAURERTOWN, VA 22644 | AFLAC | $25 | — | $25 | 0.04% |
| FRANCES SHAFFER3 Filed as: FRANCES M. SHAFFER | 14025 TOWER RD SMITHSBURG, MD 21783 | AFLAC | $25 | — | $25 | 0.04% |
| NEIL M MORGAN JR3 Filed as: NEIL M. MORGAN, JR | 1904 ELLIS DR MAIDENS, VA 23102 | AFLAC | $23 | — | $23 | 0.04% |
| KATHRYN ANDERSON3 | 6706 FARMSTEAD LN FREDERICKSBURG, VA 22407 | AFLAC | $22 | — | $22 | 0.04% |
| DAVID E SHELL JR3 Filed as: DAVID E. SHELL, JR. | 102 MACTANLY PL STE C STAUNTON, VA 24401 | AFLAC | $21 | — | $21 | 0.04% |
| PAMELA SUE BYERS3 | 10513 WINGED ELM CIR MANASSAS, VA 20110 | AFLAC | $20 | — | $20 | 0.04% |
| RICHARD L MARTIN3 Filed as: RICHARD L. MARTIN | RT 3 BOX 63 DILLWYN, VA 23936 | AFLAC | $19 | — | $19 | 0.03% |
| JAMES OGBURN III3 | 575 LOCKSLEY HALL RD REEDVILLE, VA 22539 | AFLAC | $19 | — | $19 | 0.03% |
| RICHARD KRESINSKE3 | 4004 ATLANTIC AVE APT 803 VIRGINIA BEACH, VA 23451 | AFLAC | $19 | — | $19 | 0.03% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES R. HILL, SR. | 9701 GAYTON RD STE 6 RICHMOND, VA 23238 | AFLAC | $18 | — | $18 | 0.03% |
| WALLACE S BRADY3 Filed as: WALLACE BRADY | 11810 FORBIDDEN FOREST CIR APT 304 FREDERICKSBURG, VA 22407 | AFLAC | $18 | — | $18 | 0.03% |
| RUEANN M EMERSON3 Filed as: RUEANN M. EMERSON | 1017 ASHES DRIVE #106 WILMINGTON, NC 28405 | AFLAC | $17 | — | $17 | 0.03% |
| MARK JOHNSTON3 Filed as: MARK A. JOHNSTON | 124 UNDERKE TER HEDGESVILLE, WV 25427 | AFLAC | $15 | — | $15 | 0.03% |
| KIMBERLY VOHS3 | 1471 LAKEVIEW DRIVE FRONT ROYAL, VA 22630 | AFLAC | $15 | — | $15 | 0.03% |
| DAVID PETERS3 Filed as: DAVID B. PETERS | 12030 GREENDALE DR HAGERSTOWN, MD 21742 | AFLAC | $14 | — | $14 | 0.03% |
| AIMEE STATON HARDY3 Filed as: AIMEE HARDY | 120 HUNTINGTON HILLS LN FREDERICKSBURG, VA 22401 | AFLAC | $13 | — | $13 | 0.02% |
| GREGORY D HILL3 Filed as: GREGORY HILL | 16142 SWALLOWTAIL PL MIDLOTHIAN, VA 23113 | AFLAC | $12 | — | $12 | 0.02% |
| THOMAS LEE TAYLOR3 Filed as: THOMAS L. TAYLOR | 298 MAUNEY RD BLAIRSVILLE, GA 30512 | AFLAC | $11 | — | $11 | 0.02% |
| LYNNE M WARE3 Filed as: LYNNE M. WARE | 310 SHOREWOOD DR MINERAL, VA 23117 | AFLAC | $11 | — | $11 | 0.02% |
| MICHELLE DAWN HYDE LAWSON3 Filed as: MICHELLE HYDE LAWSON | PO BOX 443 LOVINGSTON, VA 22949 | AFLAC | $11 | — | $11 | 0.02% |
| CHRISTOPHER PARSONS3 | 193 BEACH RD POQUOSON, VA 23662 | AFLAC | $7 | — | $7 | 0.01% |
| DOUGLAS MISCH3 | 15700 SAINT PETERS CHURCH RD MONTPELIER, VA 23192 | AFLAC | $6 | — | $6 | 0.01% |
| GARY GREENE3 | 1609 W ARLINTON BLVD SUITE 102 GREENVILLE, NC 27858 | AFLAC | $6 | — | $6 | 0.01% |
| KERSTIN E COLEMAN3 Filed as: KERSTIN COLEMAN | 3812 SABRE LN WILSON, NC 27896 | AFLAC | $6 | — | $6 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL WALKER | 203 MARKET ST STE 201 HAVRE DE GRACE, MD 21078 | AFLAC | $5 | — | $5 | 0.01% |
| AMELIA MORGAN3 | 1904 ELLIS DR MAIDENS, VA 23102 | AFLAC | $5 | — | $5 | 0.01% |
| MARY LEE NICHOLS3 Filed as: MARY NICHOLS | 317 S 4TH ST #276 LA CROSSE, WI 54601 | AFLAC | $4 | — | $4 | 0.01% |
| ROBERT A ANDERSON3 Filed as: ROBERT ANDERSON | 13710 GENERAL GEARY CT FREDERICKSBURG, VA 22407 | AFLAC | $4 | — | $4 | 0.01% |
| MICHAEL MARTIN3 | 762 CHAPEL RIDGE DR. PITTSBORO, NC 27312 | AFLAC | $4 | — | $4 | 0.01% |
| LEWIS K GATHRIGHT JR3 Filed as: LEWIS GATHRIGHT JR | PO BOX 165 GOOCHLAND, VA 23063 | AFLAC | $4 | — | $4 | 0.01% |
| RONALD E KIRKLAND3 Filed as: RONALD KIRKLAND | 1044 HARBOR RIDGE RD GUNTERSVILLE, AL 35976 | AFLAC | $3 | — | $3 | 0.01% |
| GEORGE WILLIAMS3 | 208 GRAND PARK BLVD CHARLESTON, SC 29492 | AFLAC | $2 | — | $2 | 0.00% |
| STEPHEN BEAMAN3 | 3201 HUNT CLUB LN NEW BERN, NC 28562 | AFLAC | $2 | — | $2 | 0.00% |
| RUSSEL TINNEY3 | 3440 TORRINGTON WAY APT 7 FAYETTEVILLE, VA 28314 | AFLAC | $2 | — | $2 | 0.00% |
| MICHAEL C WALKER3 Filed as: MICHAEL RISKA | 203 MARKET ST STE 201 HAVRE DE GRACE, MD 21078 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES M PITZ3 Filed as: JAMES PITZ | 84 MINK DRIVE CATAULA, GA 31804 | AFLAC | $1 | — | $1 | 0.00% |
| SABRINA ANN PARSONS3 Filed as: SABRINA PARSONS | PO BOX 1264 POQUOSON, VA 23662 | AFLAC | $1 | — | $1 | 0.00% |
| NICHOLAS WAGNER3 | 4665 HAYGOOD ROAD SUITE 402 VIRGINIA BEACH, VA 23455 | AFLAC | $1 | — | $1 | 0.00% |
| LINDSEY JO MARTIN3 Filed as: LINDSEY MARTIN | 1450 N ULMER ST GREENWOOD, AR 72936 | AFLAC | $0 | — | $0 | 0.00% |
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 | 156 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 156 | $2.0M |
| Vision | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 156 | $1.9M |
| Life insurance | AFLAC | 57 | $56K |
| Short-term disability | AFLAC | 57 | $56K |
| Other | AFLAC | 57 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 156 | — |
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.