| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 101 W MAIN ST WORLD TRADE CENTER STE 900 NORFOLK, VA 235101646 | UNITED HEALTHCARE INSURANCE COMPANY | — | $7K | $7K | 1.58% |
| MCGRIFF INSURANCE SERVICES INC3 | 7701 AIRPORT CENTER DR STE 1800 GREENBORO, NC 274099047 | UNITED HEALTHCARE INSURANCE COMPANY | — | $6K | $6K | 1.35% |
| USI INSURANCE SERVICES LLC3 | 101 W MAIN ST SUITE 900 NORFOLK, VA 23510 | KAISER PERMANENTE | $2K | — | $2K | 1.76% |
| MCGRIFF INSURANCE SERVICES INC3 | 3605 GLENWOOD AVE SUITE 201 RALEIGH, NC 27612 | KAISER PERMANENTE | $1K | — | $1K | 1.40% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 ATTN WEST VIRGINIA BEACH, VA 23466 | ANTHEM HEALTH PLANS OF VA | $856 | $308 | $1K | 3.21% |
| MCGRIFF INSURANCE SERVICES INC3 | 541 NORTH MAIN STREET STE 100 MOUNT AIRY, NC 27030 | ANTHEM HEALTH PLANS OF VA | $943 | — | $943 | 2.60% |
| MCGRIFF INSURANCE SERVICES INC3 | 541 NORTH MAINT STREET STE 100 MOUNT AIRY, NC 27030 | ANTHEM LIFE INSURANCE COMPANY | $1K | — | $1K | 4.45% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 ATTN WEST VIRGINIA BEACH, VA 23466 | ANTHEM LIFE INSURANCE COMPANY | $1K | $2K | $3K | 29.44% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BEACH, VA 23466 | EYE MED | $677 | — | $677 | 6.35% |
| MCGRIFF INSURANCE SERVICES INC3 | 2108 W LABRUNUM AVE 300 RICHMOND, VA 23227 | EYE MED | $511 | — | $511 | 4.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GOVERNMENT SERVICE ADMINISTRATORS EIN 11-3335620 PLAN ADMIN | Recordkeeping and information management (computing, tabulating, data processing, etc.); Plan Administrator Service code 14 | 888 VETERANS MEMORIAL HWY STE 540 HAUPPAUGE, NY 11788 | $49K |
| FRYE & COMPANY, CPAS EIN 45-4199441 PLAN AUDITOR | Accounting (including auditing) Service code 10 | 9161 LIBERIA AVE SUITE 304 MANASSAS, VA 20110 | $17K |
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 | 281 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 281 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 58 | $527K |
| Dental | ANTHEM HEALTH PLANS OF VA | 143 | $36K |
| Vision | EYE MED | 129 | $11K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 79 | $11K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 79 | $24K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 79 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 143 | — |
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.