| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS INC | 4900 COX RD SUITE 170 GLEN ALLEN, VA 23060 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $67K | $67K | 2.97% |
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS INC | 4900 COX RD SUITE 170 GLEN ALLEN, VA 23060 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | — | $1K | 0.06% |
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS INC | 4900 COX RD SUITE 170 GLEN ALLEN, VA 23060 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | $4K | $13K | 21.36% |
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS INC | 4900 COX RD SUITE 170 GLEN ALLEN, VA 23060 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $3K | $11K | 21.07% |
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS INC | 4900 COX RD SUITE 170 GLEN ALLEN, VA 23060 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | $3K | $9K | 21.50% |
| VA AUTOMOBILE DLRS SVCS3 | PO BOX 5407 RICHMOND, VA 23220 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 13.89% |
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFITS INC | 4900 COX RD SUITE 170 GLEN ALLEN, VA 23060 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $755 | $216 | $971 | 19.29% |
| VA AUTOMOBILE DLRS SVCS3 | PO BOX 5407 RICHMOND, VA 23220 | AMERICAN FIDELITY ASSURANCE COMPANY | $396 | — | $396 | 13.07% |
| VA AUTOMOBILE DLRS SVCS3 | PO BOX 5407 RICHMOND, VA 23220 | AMERICAN FIDELITY ASSURANCE COMPANY | $410 | — | $410 | 15.20% |
| VA AUTOMOBILE DLRS SVCS3 | PO BOX 5407 RICHMOND, VA 23220 | AMERICAN FIDELITY ASSURANCE COMPANY | $194 | — | $194 | 10.50% |
| VA AUTOBMOBILE DLRS SVCS3 | PO BOX 5407 RICHMOND, VA 23220 | AMERICAN FIDELITY ASSURANCE COMPANY | $35 | — | $35 | 11.95% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF VIRGINIA INC EIN 54-0357120 SERVICE PROVIDER | Other commissions; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator; Claims processing; Insurance brokerage commissions and fees; Insurance agents and brokers 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 | 267 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 271 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 350 | $2.3M |
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA INC | 487 | $0 |
| Vision(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 487 | $2.3M |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 380 | $66K |
| Short-term disability(6 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 150 | $57K |
| Long-term disability(5 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 165 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 487 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.