| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL F. WASHINGTON3 Filed as: MICHAEL F WASHINGTON | P O BOX 61007 VIRGINIA BEACH, VA 23466 | ANTHEM HEALTH PLANS OF VIRGINIA, INC | $26K | — | $26K | 1.65% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SERVICES USA INC | P O BOX 203991 DALLAS, TX 75320 | ANTHEM HEALTH PLANS OF VIRGINIA, INC | $5K | — | $5K | 0.35% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | P O BOX 61007 VIRGINIA BEACH, VA 23466 | ANTHEM HEALTH PLANS OF VIRGINIA, INC | $3K | — | $3K | 0.17% |
| MICHAEL F. WASHINGTON3 Filed as: MICHAEL F WASHINGTON | P O BOX 61007 VIRGINIA BEACH, VA 23466 | HEALTHKEEPERS, INC. (G1608) | $4K | — | $4K | 1.65% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INS SERVICES USA INC | P O BOX 203991 DALLAS, TX 75320 | HEALTHKEEPERS, INC. (G1608) | $920 | — | $920 | 0.35% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | P O BOX 61007 VIRGINIA BEACH, VA 23466 | HEALTHKEEPERS, INC. (G1608) | $442 | — | $442 | 0.17% |
| U S I INSURANCE SERVICES, LLC3 Filed as: U S I INSURANCE SERVICES LLC | P O BOX 61007 VIRGINIA BEACH, VA 23466 | DELTA DENTAL OF VIRGINIA | $8K | — | $8K | 3.25% |
| GETTYSBURG BNFTS ADMIN INC3 Filed as: GETTYSBURG BENEFITS ADMN INC | P O BOX 1060 GETTYSBURG, PA 17325 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $21K | — | $21K | 39.48% |
| USI INSURANCE SERVICES LLC3 | 3190 FAIRVIEW PARK DR STE 400 FALLS CHURCH, VA 220424546 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $13K | — | $13K | 24.74% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 101 W. MAIN STREET STE 900 NORFOLK, VA 23510 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| USI INSURANCE SERVICES LLC3 | P O BOX 61007 VIRGINIA BEACH, VA 23466 | DELTA DENTAL OF VIRGINIA | $315 | — | $315 | 3.25% |
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 | 338 | 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) | 338 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | ANTHEM HEALTH PLANS OF VIRGINIA, INC | 256 | $1.9M |
| Dental(2 contracts) | DELTA DENTAL OF VIRGINIA | 725 | $263K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 396 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 725 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.