| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 310 1ST ST SW, SUITE 201 ROANOKE, VA 240111926 | AMERITAS LIFE INSURANCE CORP. | $20K | — | $20K | 5.86% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 47 AIRPARK CT, P.O. BOX 27149 GREENVILLE, SC 296162149 | AMERITAS LIFE INSURANCE CORP. | — | $8K | $8K | 2.29% |
| MCGRIFF INSURANCE SERVICES INC3 | 3318 W FRIENDLY AVE, STE 400 GREENSBORO, NC 27410 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | $20K | — | $20K | 7.05% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF VA EIN 54-0357120 NONE | Claims processing; Contract Administrator; Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees Service code 12 | — | $320K |
| HEALTHKEEPERS, INC. EIN 54-1356687 NONE | Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Other fees; Other services Service code 12 | — | $63K |
| MCGRIFF INSURANCE SERVICES NONE | Other commissions; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 223 W NASH ST WILSON, NC 27893 | $0 |
| INGENIORX, INC. EIN 35-2145715 NONE | Contract Administrator; Claims processing; Other services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 220 VIRGINIA AVENUE INDIANAPOLIS, IN 46204 | -$33K |
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 | 573 | 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) | 573 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP. | 1,221 | $341K |
| Vision(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 1,221 | $860K |
| Life insurance | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 848 | $286K |
| Short-term disability | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 848 | $286K |
| Long-term disability | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 848 | $286K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 974 | $518K |
| Other | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 848 | $286K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,221 | — |
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.