| 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 | $90K | $8K | $99K | 11.14% |
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS | 4900 COX RD SUITE 170 GLEN ALLEN, VA 23060 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $39K | — | $39K | 16.69% |
| L3 ADVISORY, LLC3 Filed as: L3 ADVISORY LLC | 7101 WISCONSIN AVE BETHESDA, MD 20814 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5 | — | $5 | 0.00% |
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS INC. | 4900 COX RD STE 170 GLEN ALLEN, VA 230606507 | VISION SERVICE PLAN | $4K | — | $4K | 9.23% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL OF VIRGINIA EIN 54-0844477 CLAIMS ADMINISTRATION | Contract Administrator Service code 13 | — | $25K |
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 SERVICE PROVIDER | Participant communication; Contract Administrator; Float revenue; Other services; Claims processing; Direct payment from the plan; Named fiduciary; Non-monetary compensation Service code 12 | — | $16K |
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 | 438 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 438 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 650 | $884K |
| Dental | DELTA DENTAL OF VIRGINIA | 743 | $0 |
| Vision | VISION SERVICE PLAN | 370 | $44K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 375 | $235K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 375 | $235K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 375 | $235K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 650 | $884K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 743 | — |
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.