| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA | 12882 COLLECTIONS CENTER DR CHICAGO, IL 60693 | OPTIMA HEALTH PLAN | $46K | — | $46K | 3.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA INC. | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | ANTHEM LIFE INSURANCE COMPANY | $14K | — | $14K | 13.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CALIFORNIA INC | 444 MARKET ST STE 1600 SAN FRANCISCO, CA 94111 | ANTHEM LIFE INSURANCE COMPANY | — | $1K | $1K | 1.16% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DRIVE SUITE 400 GLEN ALLEN, VA 23060 | UNITED CONCORDIA INSURANCE COMPANY | $8K | — | $8K | 8.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA | 12882 COLLECTIONS CENTER DR CHICAGO, IL 60693 | OPTIMA HEALTH INSURANCE COMPANY | $2K | — | $2K | 3.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SEC. LIFE INS. COMPANY | $856 | — | $856 | 5.28% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 12882 COLLECTIONS CENTER DR CHICAGO, IL 60693 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SEC. LIFE INS. COMPANY | $431 | — | $431 | 2.66% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | C/O BANK OF AMERICA CHICAGO, IL 60693 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SEC. LIFE INS. COMPANY | $149 | — | $149 | 0.92% |
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 | 258 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 260 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | OPTIMA HEALTH PLAN | 220 | $1.6M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 191 | $98K |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SEC. LIFE INS. COMPANY | 222 | $16K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 257 | $105K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 257 | $105K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 257 | $105K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 257 | $105K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 257 | — |
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.