| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 | 414 GALLIMORE DAIRY ROAD SUITE F GREENSBORO, NC 27409 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $14K | — | $14K | 2.44% |
| MCGRIFF INSURANCE SERVICES INC3 | 3605 GLENWOOD AVENUE STE 201 RALEIGH, NC 27612 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $3K | — | $3K | 5.00% |
| WANDA LEE MADDOX3 | PO BOX 346 CROZET, VA 22932 | AFLAC | $3K | $331 | $4K | 8.06% |
| KAREN S LEIGHTY3 | 729 PATTIE RD BUCKINGHAM, VA 23921 | AFLAC | $451 | $46 | $497 | 1.12% |
| RUTH P YOUNG3 | 677 BERKMAR CT CHARLOTTESVILLE, VA 22901 | AFLAC | $329 | $20 | $349 | 0.78% |
| CODY MOSS3 Filed as: CODY LEE MOSS | 2203 GLENMORE RD SCOTTSVILLE, VA 24590 | AFLAC | $240 | $46 | $286 | 0.64% |
| JADEANNE WAGNER3 | 742 WILLOWSPRINGS BLVD FRANKLIN, TN 37064 | AFLAC | $201 | — | $201 | 0.45% |
| ROY S TURNER3 | 429 MAPLE TOP LN BUCKINGHAM, VA 23931 | AFLAC | $191 | — | $191 | 0.43% |
| KATHY K PLOURDE3 | PO BOX 641 FOREST, VA 24551 | AFLAC | $146 | — | $146 | 0.33% |
| J GARY CAVE3 Filed as: J. GARY CAVE | 6412 HARDING PIKE NASHVILLE, TN 37205 | AFLAC | $135 | — | $135 | 0.30% |
| FAY JETER MARTIN3 | 19220 FOREST RD LYNCHBURG, VA 24502 | AFLAC | $134 | — | $134 | 0.30% |
| MICHAEL HOWARD WEEKS3 | 160 ELLIOTT RD AYDLETT, NC 27916 | AFLAC | $127 | — | $127 | 0.29% |
| SAMUEL DAANE3 | 943 GLENWOOD STATION LN STE 302 CHARLOTTESVILLE, VA 22901 | AFLAC | $94 | $20 | $114 | 0.26% |
| DAVID N MORGAN3 | 906 MERCHANT LEE PL MANAKIN SABOT, VA 23103 | AFLAC | $92 | — | $92 | 0.21% |
| SABRINA ANN PARSONS3 | 193 BEACH RD POQUOSON, VA 23662 | AFLAC | $81 | — | $81 | 0.18% |
| CHRISTOPHER PARSONS3 | 193 BEACH RD POQUOSON, VA 23662 | AFLAC | $79 | — | $79 | 0.18% |
| TELLIE ANN TURNER SAUNDERS3 | 427 MAPLE TOP LN BUCKINGHAM, VA 23921 | AFLAC | $62 | — | $62 | 0.14% |
| YARBOROUGH AND YARBOROUGH INC3 | 4035 HEUTTE DR NORFOLK, VA 23518 | AFLAC | $50 | — | $50 | 0.11% |
| ROY S TURNER3 | 429 MAPLE TOP LN BUCKINGHAM, VA 23921 | AFLAC | $43 | — | $43 | 0.10% |
| JANICE ALLEN TURNER3 | 429 MAPLE TOP LN BUCKINGHAM, VA 23921 | AFLAC | $37 | — | $37 | 0.08% |
| DUANE A ADAMS3 | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $34 | — | $34 | 0.08% |
| JEFFREY WHITE3 | 8250 PORTERS CROSSING WAY WILMINGTON, NC 28411 | AFLAC | $25 | — | $25 | 0.06% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: DANIE M BROWN | 475 LAWNDALE DR SPRING CREEK, NV 89815 | AFLAC | $24 | — | $24 | 0.05% |
| TALON R BOCCOLA3 | 25 JESUP WAY APT 102 LYNCHBURG, VA 24502 | AFLAC | $21 | — | $21 | 0.05% |
| RICHARD J KRESINSKE3 Filed as: RICHARD K KRESINSKE | 4004 ATLANTIC AVE APT 803 VIRGINIA BEACH, VA 23451 | AFLAC | $21 | — | $21 | 0.05% |
| DURWARD W HANCOCK JR3 | PO BOX 3634 NORTH MYRTLE BEACH, SC 29582 | AFLAC | $20 | — | $20 | 0.04% |
| SABRINA ANN PARSONS3 | PO BOX 1264 POQUOSON, VA 23662 | AFLAC | $18 | — | $18 | 0.04% |
| THOMAS E HATCHER JR3 | 1588 BAYTREE DR HARRELLS, NC 28444 | AFLAC | $18 | — | $18 | 0.04% |
| DAVUD E SHELL JR3 | 102 MACTANLY PL STE C STAUNTON, VA 24401 | AFLAC | $18 | — | $18 | 0.04% |
| AMELIA MORGAN3 Filed as: AMELIA KAY MORGAN | 1904 ELLIS DR MAIDENS, VA 23102 | AFLAC | $8 | — | $8 | 0.02% |
| ELLEN JENKINS NETERER3 | PO BOX 262 GOOCHLAND, VA 23003 | AFLAC | $6 | — | $6 | 0.01% |
| GEORGE WILLIAMS3 Filed as: GEORGE LOWNDES WILLIAMS | 208 GRAND PARK BLVD CHARLESTON, WV 29192 | AFLAC | $5 | — | $5 | 0.01% |
| CHARLOTTE R. TINSLEY3 Filed as: CHARLOTTE R TINSLEY | 712 SW MONTGOMERY AVE LEES SUMMIT, MO 64081 | AFLAC | $5 | — | $5 | 0.01% |
| RUSSEL TINNEY3 | 3440 TORRINGTON WAY APT 7 FAYETTEVILLE, NC 28314 | AFLAC | $5 | — | $5 | 0.01% |
| MICHAEL R MARTIN3 | 762 CHAPEL RIDGE DR PITTSBORO, NC 27312 | AFLAC | $2 | — | $2 | 0.00% |
| RUSSELL TINNEY3 | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $2 | — | $2 | 0.00% |
| GREGORY D HILL3 | 16142 SWALLOWTAIL PL MIDLOTHIAN, VA 23113 | AFLAC | $2 | — | $2 | 0.00% |
| MARY LEE NICHOLS3 | 317 4TH ST #276 LA CROSSE, WI 54601 | AFLAC | $2 | — | $2 | 0.00% |
| MARK D LUTHER3 | 804 MOOREFIELD PARK DR STE 205 NORTH CHESTERFIELD, VA 23236 | AFLAC | $1 | — | $1 | 0.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 3605 GLENWOOD AVENUE STE 201 RALEIGH, NC 27612 | SUN LIFE ASSSURANCE COMPANY OF CANADA | $4K | $856 | $5K | 16.77% |
| FREDERICK SCRUGGS3 Filed as: FREDERICK T SCRUGGS | 1116 VISTA PARK DR SUITE A FOREST, VA 24551 | SUN LIFE ASSSURANCE COMPANY OF CANADA | $660 | — | $660 | 15.01% |
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 | 102 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 154 | $588K |
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 89 | $51K |
| Life insurance | SUN LIFE ASSSURANCE COMPANY OF CANADA | 100 | $30K |
| Short-term disability | SUN LIFE ASSSURANCE COMPANY OF CANADA | 100 | $30K |
| Long-term disability(2 contracts) | SUN LIFE ASSSURANCE COMPANY OF CANADA | 100 | $34K |
| Other(2 contracts, 2 carriers) | AFLAC | 100 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 154 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.