| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHILD HEALTH CORP OF AMERICA3 | 16011 COLLEGE BLVD. STE 250 LENEXA, KS 66219 | HARTFORD LIFE AND ACCIDENT | $145K | $26K | $171K | 9.03% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT | — | $40K | $40K | 2.13% |
| DAVID W HARLESS3 | 3412 MANOR GROVE CIR GLEN ALLEN, VA 23059 | AFLAC | $32K | $2K | $34K | 4.26% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: CHARLES A BROWN | 8813 PIELS RD NORTH CHESTERFIELD, VA 23237 | AFLAC | $25K | $2K | $27K | 3.38% |
| CHRISTOPHER D LACKS3 | 12536 ST THOMAS CT MIDLOTHIAN, VA 23114 | AFLAC | $11K | $1K | $12K | 1.54% |
| MISC. AGENTS PAID LESS THAN 1003 Filed as: MISC. AGENTS PAID 1000 EACH | DETAIL AVAILABLE FROM CHS 601 CHILDREN'S LANE NORFOLK, VA 23507 | AFLAC | $10K | $82 | $10K | 1.28% |
| TIMOTHY CAVAZOS3 | 108 ANDREW LINDSEY WILLIAMSBURG, VA 23185 | AFLAC | $7K | $235 | $8K | 0.94% |
| PHILIP WALDROP3 | 7096 SUNNYHILL DR MECHANICSVILLE, VA 23111 | AFLAC | $3K | $840 | $4K | 0.46% |
| JACK L DURHAM3 | 3200 HUNTS BRIDGE CT MIDLOTHIAN, VA 23112 | AFLAC | $4K | — | $4K | 0.46% |
| DUANE A ADAMS3 | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $3K | — | $3K | 0.33% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: CAVAZOS RISK MANAGEMENT LLC | 11551 NUCKOLS RD STE P GLEN ALLEN, VA 23059 | AFLAC | $2K | $708 | $2K | 0.29% |
| DAVID N MORGAN3 | 906 MERCHANT LEE PL MANAKIN SABOT, VA 23103 | AFLAC | $2K | — | $2K | 0.28% |
| MARVIN S THOMPSON3 | 615 KERRI COVE CT APT 202 MIDLOTHIAN, VA 23113 | AFLAC | $2K | — | $2K | 0.20% |
| BENJAMIN O THOMPSON SR3 | 2012 GAMELAW COURT MIDLOTHIAN, VA 23113 | AFLAC | $1K | — | $1K | 0.15% |
| AUBREY S BALDWIN3 | PO BOX 126 APPOMATTOX, VA 24522 | AFLAC | $1K | $112 | $1K | 0.15% |
| JOSHUA C BURTON3 | 2819 N PARHAM RD STE 240 RICHMOND, VA 23294 | AFLAC | $1K | — | $1K | 0.14% |
| CHILD HEALTH CORP OF AMERICA3 Filed as: CHILD HEALTH COPORATION OF AMERICA | 16011 COLLEGE BLVD. STE 250 LENEXA, KS 66219 | UNITEDHEALTHCARE INSURANCE COMPANY | $13K | — | $13K | 5.00% |
| CHILD HEALTH CORP OF AMERICA3 | 16011 COLLEGE BLVD. STE 250 LENEXA, KS 66219 | HARTFORD LIFE AND ACCIDENT | $6K | $893 | $7K | 8.10% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT | — | $2K | $2K | 2.22% |
| DAVID W HARLESS3 | 3412 MANOR GROVE CIRCLE GLEN ALLEN, VA 23059 | AFLAC | $874 | — | $874 | 2.76% |
| MISC. AGENTS PAID LESS THAN 1003 Filed as: MISC. AGENTS PAID 100 EACH | DETAIL AVAILABLE FROM CHS 601 CHILDREN'S LANE NORFOLK, VA 23507 | AFLAC | $631 | — | $631 | 2.00% |
| DUANE A ADAMS3 | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $287 | — | $287 | 0.91% |
| JACK L DURHAM3 | 3200 HUNTS BRIDGE CT MIDLOTHIAN, VA 23112 | AFLAC | $169 | — | $169 | 0.53% |
| AON CONSULTING INC3 | P.O. BOX 905494 CHARLOTTE, NC 28290 | AFLAC | $140 | — | $140 | 0.44% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: CHARLES A BROWN | 8813 PIELS RD NORTH CHESTERFIELD, VA 23237 | AFLAC | $122 | — | $122 | 0.39% |
| DAVID N MORGAN3 | 906 MERCHANT LEE PL MANAKIN SABOT, VA 23103 | AFLAC | $106 | — | $106 | 0.34% |
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 | 3,108 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 47 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,168 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | OPTIMA HEALTH | 3,350 | $1.4M |
| Dental | DELTA DENTAL OF VIRGINIA | 2,062 | $545K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 3,042 | $1.9M |
| Short-term disability(2 contracts) | AFLAC | 825 | $837K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 3,042 | $1.9M |
| Other(4 contracts, 3 carriers) | AFLAC | 2,990 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,350 | — |
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.