| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS | 4900 COX ROAD SUITE 170 GLEN ALLEN, VA 23060 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $93K | — | $93K | 14.96% |
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS INC. | 4900 COX RD. STE 170 GLEN ALLEN, VA 23060 | SUN LIFE ASSURANCE COMPANY OF CANADA | $37K | — | $37K | 16.92% |
| UNITED BENEFIT ADVISORS LLC3 | 1 PIERCE PL SUITE 400E ITASCA, IL 60143 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $194 | $194 | 0.09% |
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS INC. | 4900 COX RD STE 170 GLEN ALLEN, VA 230606507 | VISION SERVICE PLAN | $4K | — | $4K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL OF VIRGINIA EIN 54-0844477 CLAIMS ADMINISTRATION | Contract Administrator Service code 13 | — | $21K |
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 SERVICE PROVIDER | Non-monetary compensation; Float revenue; Participant communication; Direct payment from the plan; Named fiduciary; Claims processing; Contract Administrator; Other services Service code 12 | — | $11K |
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. |
| Total participants (= "Plan participants" tile) | 338 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 648 | $620K |
| Dental | DELTA DENTAL OF VIRGINIA | 725 | $112K |
| Vision | VISION SERVICE PLAN | 329 | $39K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 311 | $216K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 311 | $216K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 311 | $216K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 648 | $620K |
| 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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.