| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS AGY OF VA INC. | 8570 MAGELLAN PARKWAY STE 1100 RICHMOND, VA 23227 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $12K | $0 | $12K | 1.96% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS AGY OF VA INC. | PO BOX 3070 RICHMOND, VA 23228 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $5K | $0 | $5K | 0.81% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE AGCY OF VA | 11220 ASSETT LOOP, SUITE 304 MANASSAS, VA 20109 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | $2K | $13K | 11.93% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS AGY OF VA INC | 11220 ASSETT LOOP STE 204 MANASSAS, VA 20109 | TRANSAMERCIA LIFE INSURANCE COMPANY | $7K | $0 | $7K | 18.58% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 3605 GLEWOOD AVE, SUITE 201 RALEIGH, NC 27612 | TRANSAMERCIA LIFE INSURANCE COMPANY | $554 | $0 | $554 | 1.45% |
| ORTWEIN, MATTHEW, MICHAEL3 | 9410 FURROW AVE ELLICOTT CITY, MD 21042 | PROVIDENT LIFE AND ACCIDENT INSURANCE AGENCY | $119 | $0 | $119 | 1.63% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE AGCY OF VA | 11220 ASSETT LOOP STE 304 MANASSAS, VA 20109 | PROVIDENT LIFE AND ACCIDENT INSURANCE AGENCY | $79 | $0 | $79 | 1.08% |
| BROCKMAN, WILLIAM, HENRY3 | 530 GATHER RD STE 350 ROCKVILLE, MD 20850 | PROVIDENT LIFE AND ACCIDENT INSURANCE AGENCY | $47 | $0 | $47 | 0.64% |
| DOTEN, JOHN, D3 | 6430 ROCKLEDGE DR STE 300 NEW ENGLAND FIN 036-NB BETHESDA, MD 20817 | PROVIDENT LIFE AND ACCIDENT INSURANCE AGENCY | $47 | $0 | $47 | 0.64% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: EARLY CASSIDY & SCHILLING INC | 15200 OMEGA DR STE 100 ROCKVILLE, MD 20850 | PROVIDENT LIFE AND ACCIDENT INSURANCE AGENCY | $27 | $0 | $27 | 0.37% |
| BENEFIT ADVISORS NETWORK LLC3 Filed as: BENEFIT ADVISORS NETWORK | 6830 COCHRAN RD SOLON, OH 44139 | PROVIDENT LIFE AND ACCIDENT INSURANCE AGENCY | $0 | $3 | $3 | 0.04% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 160 | $611K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 202 | $106K |
| Vision | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 160 | $611K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 202 | $106K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 202 | $106K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 202 | $106K |
| Prescription drug | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 160 | $611K |
| Other(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 202 | $151K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 202 | — |
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."
Final-filing indicator set. Plan is winding down; don't waste sales effort here.