| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DR., SUITE 300 GLEN ALLEN, VA 23060 | HEALTHKEEPERS, INC. | $39K | — | $39K | 3.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DR., SUITE 300 GLEN ALLEN, VA 23060 | ANTHEM LIFE INSURANCE COMPANY | $8K | — | $8K | 10.15% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CALIFORNIA | 444 MARKET ST STE 1600 SAN FRANCISCO, CA 94111 | ANTHEM LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.75% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DR., SUITE 300 GLEN ALLEN, VA 23060 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $5K | — | $5K | 7.00% |
| GARY W GOYER3 | 5463 WINESAP DR ROANOKE, VA 24019 | AFLAC | $9K | $426 | $10K | 14.28% |
| MELISSA L KARNES3 | 1002 CANINE CT THAXTON, VA 24174 | AFLAC | $1K | $20 | $1K | 1.65% |
| JAMES C BOOKER3 | 7110 WOODS CROSSING DR ROANOKE, VA 24018 | AFLAC | $657 | $24 | $681 | 1.00% |
| JOHN A HAWLEY3 | 1390 SOUTHSIDE DR SALEM, VA 24153 | AFLAC | $459 | $61 | $520 | 0.77% |
| HEATHER D HAWLEY3 | 212 BISHOP RD BLACKSBURG, VA 24060 | AFLAC | $411 | $65 | $476 | 0.70% |
| KEVIN L MARTIN3 | 1534 LINKS VIEW DR SALEM, VA 24153 | AFLAC | $396 | — | $396 | 0.58% |
| MELVIN R JONES3 | 3025 ELIOCH MANOR DR POWHATAN, VA 23139 | AFLAC | $249 | — | $249 | 0.37% |
| LARRY W OWEN3 | PO BOX 783 SALEM, VA 24153 | AFLAC | $221 | — | $221 | 0.33% |
| BOBBY R CRAIGHEAD3 | 431 MITCHELL VALLEY DR MARION, VA 24354 | AFLAC | $106 | — | $106 | 0.16% |
| JAMES C BOOKER3 | 20 BROAD ST APT 204 DALEVILLE, VA 24083 | AFLAC | $100 | — | $100 | 0.15% |
| JACKSON D RHODES3 | 525 W OAKLAND AVE STE 7 JOHNSON CITY, TN 37604 | AFLAC | $75 | — | $75 | 0.11% |
| THOMAS E HATCHER JR3 | 1588 BAYTREE DR HARRELLS, NC 28444 | AFLAC | $61 | — | $61 | 0.09% |
| JACKSON D RHODES3 | 2332 VOLUNTEER PKWY BRISTOL, TN 37620 | AFLAC | $47 | — | $47 | 0.07% |
| TRAVIS B HAWKINS3 | 761 MOSBY ST SW ABINGDON, VA 24210 | AFLAC | $22 | — | $22 | 0.03% |
| GREGORY D HILL3 | 16142 SWALLOWTAIL PL MIDLOTHIAN, VA 23113 | AFLAC | $17 | — | $17 | 0.03% |
| JUDY L MCCULLOUGH3 | PO BOX 449 FOREST, VA 24551 | AFLAC | $16 | — | $16 | 0.02% |
| THOMAS J STEPHENSON3 | 320 9TH STREET HUNTINGTON, WV 25701 | AFLAC | $14 | — | $14 | 0.02% |
| JUSTIN W DAVIS3 | 300 LIVE OAK CT SALEM, VA 24153 | AFLAC | $14 | — | $14 | 0.02% |
| HENRY MOSES3 | 1456 MUD PIKE CHRISTIANSBURG, VA 24073 | AFLAC | $12 | — | $12 | 0.02% |
| MARY LEE NICHOLS3 | 317 S 4TH ST #276 LA CROSSE, WI 54601 | AFLAC | $10 | — | $10 | 0.01% |
| BRIAN CUMPTAN3 | 320 9TH STREET SUITE 200 HUNTINGTON, WV 25701 | AFLAC | $9 | — | $9 | 0.01% |
| SHANE M OWEN3 Filed as: SHANE CRAIG DAVISON | 120 PROVIDENCE TRL APT 1200 MT JULIET, TN 37122 | AFLAC | $8 | — | $8 | 0.01% |
| DARAN L WYCKOFF3 | PO BOX 952 SPOKANE VALLEY, WA 99037 | AFLAC | $7 | — | $7 | 0.01% |
| CHRISTOPHER PARSONS3 | 193 BEACH RD POQUOSON, VA 23662 | AFLAC | $6 | — | $6 | 0.01% |
| C HARVEY KING3 | 931 S MAIN ST STE B #206 KERNERSVILLE, NC 27284 | AFLAC | $6 | — | $6 | 0.01% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT M GUTHRIE | 14227 N 14TH ST PHOENIX, AZ 85022 | AFLAC | $6 | — | $6 | 0.01% |
| KRISTINE G WYCKOFF3 | PO BOX 952 SPOKANE VALLEY, WA 99037 | AFLAC | $2 | — | $2 | 0.00% |
| PAUL B BROUCHOUD3 | 604 MARK DRIVE DEL CITY, OK 73115 | AFLAC | $2 | — | $2 | 0.00% |
| SABRINA ANN PARSONS3 | PO BOX 1264 POQUOSON, VA 23662 | AFLAC | $1 | — | $1 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DR., SUITE 300 GLEN ALLEN, VA 23060 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
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 | 165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTHKEEPERS, INC. | 72 | $1.3M |
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 140 | $75K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 0 | $14K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 165 | $82K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 165 | $82K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 165 | $82K |
| Other | AFLAC | 78 | $68K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 165 | — |
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."
No prospect flags tripped on this filing.