| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | 200 W CYPRESS CREEK RD #500 FORT LAUDERDALE, FL 33309 | HEALTHKEEPERS, INC. (G1608) | $21K | — | $21K | 1.13% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | 6100 FAIRVIEW ROAD STE 1400 CHARLOTTE, NC 28210 | HEALTHKEEPERS, INC. (G1608) | $12K | — | $12K | 0.66% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | P O BOX 62817 ATTN MOUNTAN VIRGINIA BEACH, VA 23466 | HEALTHKEEPERS, INC. (G1608) | $4K | — | $4K | 0.21% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ MT DONAHOE & ASSOC LLC | 7160 COLUMBIA GATEWAY DR STE 300 COLUMBIA, MD 21046 | HEALTHKEEPERS, INC. (G1608) | -$72 | — | -$72 | -0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | 200 W CYPRESS CREEK RD #500 FORT LAUDERDALE, FL 33309 | ANTHEM HEALTH PLANS OF VIRGINIA, INC | $9K | — | $9K | 1.09% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | 6100 FAIRVIEW ROAD STE 1400 CHARLOTTE, NC 28210 | ANTHEM HEALTH PLANS OF VIRGINIA, INC | $5K | — | $5K | 0.65% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | P O BOX 62817 ATTN MOUNTAN VIRGINIA BEACH, VA 23466 | ANTHEM HEALTH PLANS OF VIRGINIA, INC | $2K | — | $2K | 0.20% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ MT DONAHOE & ASSOC LLC | 7160 COLUMBIA GATEWAY DR SUITE 300 COLUMBIA, MD 21046 | ANTHEM HEALTH PLANS OF VIRGINIA, INC | -$30 | — | -$30 | -0.00% |
| 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 | $9K | — | $9K | 3.01% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 101 W. MAIN STREET STE 900 NORFOLK, VA 23510 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $4K | — | $4K | 10.01% |
| USI INSURANCE SERVICES LLC3 | P O BOX 61007 VIRGINIA BEACH, VA 23466 | DELTA DENTAL OF VIRGINIA | $789 | — | $789 | 2.95% |
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 | 354 | 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) | 354 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTHKEEPERS, INC. (G1608) | 244 | $2.7M |
| Dental(2 contracts) | DELTA DENTAL OF VIRGINIA | 809 | $337K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 587 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 809 | — |
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.