| 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. | $37K | — | $37K | 1.95% |
| EMPLOYEE BENEFITS CORP OF AMERICA3 Filed as: EMPLOYEE BENEFITS CORP. OF AMERICA | 1410 SPRING HILL RD, STE 150 MCLEAN, VA 22102 | ANTHEM LIFE INSURANCE COMPANY | $9K | — | $9K | 14.81% |
| DEAN B GRIFFITH3 Filed as: DEAN GRIFFITH | 510 WINDY RIDGE RD FRONT ROYAL, VA 22630 | AFLAC | $4K | $69 | $4K | 7.31% |
| SUSAN WILLIAMS3 | 510 WINDY RIDGE RD FRONT ROYAL, VA 22630 | AFLAC | $2K | $14 | $2K | 3.67% |
| JAMES ZOMBRO3 | 170 KENTUCKY LANE BERKELEY SPRINGS, WV 25411 | AFLAC | $539 | $17 | $556 | 1.08% |
| JAMES A TAFT JR3 Filed as: JAMES TAFT, JR. | 573 CANE RUN ST HARRODSBURG, KY 40330 | AFLAC | $506 | — | $506 | 0.98% |
| DANA J A NORRIS3 Filed as: DANA NORRIS | 4900 ZEPP RD MAURERTOWN, VA 22644 | AFLAC | $301 | — | $301 | 0.58% |
| BONNIE TAFT3 | 573 CANE RUN ST HARRODSBURG, KY 40330 | AFLAC | $239 | — | $239 | 0.46% |
| ROBERT CARTER3 | 95 BERKSHIRE DR FALLING WATERS, WV 25419 | AFLAC | $188 | — | $188 | 0.36% |
| ROBERT LONG3 | TO THE ESTATE OF 5524 LIBER CT GAINESVILLE, VA 20155 | AFLAC | $169 | — | $169 | 0.33% |
| BOYD GLOVER JR3 Filed as: BOYD GLOVER, JR. | 69 MOORCLIFFE LN VERONA, VA 24482 | AFLAC | $103 | — | $103 | 0.20% |
| SHEILA L RAITCH3 Filed as: SHEILA RAITCH | 5524 LIBER CT GAINESVILLE, VA 20155 | AFLAC | $100 | — | $100 | 0.19% |
| AMY LEDDON3 | PO BOX 191 SUMERDUCK, VA 22742 | AFLAC | $97 | — | $97 | 0.19% |
| MIL-LIN INC3 | 1640 W COMMONWEALTH DR FRONT ROYAL, VA 22630 | AFLAC | $95 | — | $95 | 0.18% |
| SARAH H MCNEMAR3 Filed as: SARAH MCNEMAR | 1123 PELHAM ST CULPEPER, VA 22701 | AFLAC | $84 | — | $84 | 0.16% |
| DAVID MORGAN3 | 906 MERCHANT LEE PL MANAKIN SABOT, VA 23103 | AFLAC | $80 | — | $80 | 0.16% |
| MARK WARE3 | 310 SHOREWOOD DR MINERAL, VA 23117 | AFLAC | $77 | — | $77 | 0.15% |
| LARRY W SHOWALTER3 Filed as: LARRY W. SHOWALTER | 2515 EAST MARKET ST STE E HARRISONBURG, VA 22801 | AFLAC | $66 | — | $66 | 0.13% |
| THOMAS ROBINSON3 | 81 COTTAGE CT GORDONSVILLE, VA 22942 | AFLAC | $48 | — | $48 | 0.09% |
| BANKERS INSURANCE LLC3 | 4490 COX RD GLEN ALLEN, VA 23060 | AFLAC | $47 | — | $47 | 0.09% |
| TERRY SILVERS3 | 100 GREENLEAF DR FLAT ROCK, NC 28731 | AFLAC | $38 | — | $38 | 0.07% |
| THOMAS E HATCHER JR3 Filed as: THOMAS HATCHER, JR. | 1588 BAYTREE DR HARRELLS, NC 28444 | AFLAC | $37 | — | $37 | 0.07% |
| DANIEL J LONG3 Filed as: DANIEL LONG | 6100 CHEVY CHASE DR STE 102 LAUREL, MD 20707 | AFLAC | $25 | — | $25 | 0.05% |
| NEIL M MORGAN JR3 Filed as: NEIL MORGAN, JR | 1904 ELLIS DR MAIDENS, VA 23102 | AFLAC | $23 | — | $23 | 0.04% |
| PAMELA BYERS3 | 10513 WINGED ELM CIR MANASSAS, VA 20110 | AFLAC | $20 | — | $20 | 0.04% |
| JAMES OGBURN III3 | 575 LOCKSLEY HALL RD REEDVILLE, VA 22539 | AFLAC | $19 | — | $19 | 0.04% |
| DUANE A ADAMS3 Filed as: DUANE ADAMS | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $19 | — | $19 | 0.04% |
| RICHARD L MARTIN3 Filed as: RICHARD L. MARTIN | RT 3 BOX 63 DILLWYN, VA 23936 | AFLAC | $15 | — | $15 | 0.03% |
| RICHARD KRESINSKE3 | 4004 ATLANTIC AVE APT 803 VIRGINIA BEACH, VA 23451 | AFLAC | $14 | — | $14 | 0.03% |
| THOMAS TAYLOR3 | 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% |
| GREGORY D HILL3 Filed as: GREGORY HILL | 16142 SWALLOWTAIL PL MIDLOTHIAN, VA 23113 | AFLAC | $11 | — | $11 | 0.02% |
| CHRISTOPHER PARSONS3 | 193 BEACH RD POQUOSON, VA 23662 | AFLAC | $5 | — | $5 | 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% |
| AMELIA MORGAN3 | 1904 ELLIS DR MAIDENS, VA 23102 | AFLAC | $3 | — | $3 | 0.01% |
| 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% |
| MARY LEE NICHOLS3 Filed as: MARY NICHOLS | 317 4TH ST S #276 LA CROSSE, WI 54601 | AFLAC | $2 | — | $2 | 0.00% |
| GEORGE WILLIAMS3 | 208 GRAND PARK BLVD CHARLESTON, SC 29492 | AFLAC | $2 | — | $2 | 0.00% |
| NICHOLAS WAGNER3 | 4665 HAYGOOD ROAD SUITE 402 VIRGINIA BEACH, VA 23455 | AFLAC | $1 | — | $1 | 0.00% |
| RONALD E KIRKLAND3 Filed as: RONALD KIRKLAND | 1044 HARBOR RIDGE RD GUNTERSVILLE, AL 35976 | AFLAC | $1 | — | $1 | 0.00% |
| SABRINA ANN PARSONS3 Filed as: SABRINA PARSONS | 193 BEACH RD POQUOSON, VA 23662 | AFLAC | $1 | — | $1 | 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 | 177 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 177 | 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(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 218 | $112K |
| Short-term disability | AFLAC | 50 | $52K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 218 | $60K |
| Other | AFLAC | 50 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 218 | — |
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.