| 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 | $140K | $65K | $204K | 9.40% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT | — | $74K | $74K | 3.42% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: CHARLES A BROWN | 8813 PIELS RD NORTH CHESTERFIELD, VA 23237 | AFLAC | $31K | $3K | $34K | 4.04% |
| DAVID W HARLESS3 | 3412 MANOR GROVE CIRCLE GLEN ALLEN, VA 23059 | AFLAC | $29K | $2K | $31K | 3.60% |
| CHRISTOPHER D LACKS3 | 12536 ST THOMAS CT MIDLOTHIAN, VA 23114 | AFLAC | $12K | $789 | $12K | 1.45% |
| JOSHUA C BURTON3 | 2819 N PARHAM RD STE 240 RICHMOND, VA 23294 | AFLAC | $8K | $306 | $8K | 0.99% |
| MISC. AGENTS PAID LESS THAN 1003 Filed as: MISC. AGENTS PAID LESS THAN 1000 | DETAIL AVAILABLE FROM CHS 601 CHILDREN'S LANE NORFOLK, VA 23507 | AFLAC | $8K | $43 | $8K | 0.98% |
| TIMOTHY CAVAZOS3 | 108 ANDREW LINDSEY WILLIAMSBURG, VA 23185 | AFLAC | $4K | $575 | $4K | 0.51% |
| JACK L DURHAM3 | 3200 HUNTS BRIDGE CT APT 202 MIDLOTHIAN, VA 23112 | AFLAC | $3K | — | $3K | 0.40% |
| DUANE A ADAMS3 | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $3K | — | $3K | 0.30% |
| JENNIFER TENCH3 | 1299 LOCUST HILL RD AYLETT, VA 23009 | AFLAC | $2K | $383 | $2K | 0.29% |
| DAVID N MORGAN3 | 906 MERCHANT LEE PL MANAKIN SABOT, VA 23103 | AFLAC | $2K | — | $2K | 0.25% |
| MARVIN S THOMPSON3 | 615 KERRI COVE CT APT 202 MIDLOTHIAN, VA 23113 | AFLAC | $2K | — | $2K | 0.18% |
| PHILIP WALDROP3 | 7096 SUNNYHILL DR MECHANICSVILLE, VA 23111 | AFLAC | $1K | — | $1K | 0.18% |
| BENJAMIN O THOMPSON SR3 | 2012 GAMELAW COURT MIDLOTHIAN, VA 23113 | AFLAC | $1K | — | $1K | 0.13% |
| THE DIAMOND AGENCY LLC3 | 2013 OLD RIDGE WAY SUITE 150 #202 LELAND, NC 28451 | AFLAC | $1K | — | $1K | 0.12% |
| CHILD HEALTH CORP OF AMERICA3 Filed as: CHILD HEALTH COPORATION OF AMERICA | 16011 COLLEGE BLVD. STE 250 LENEXA, KS 66219 | UNITEDHEALTHCARE INSURANCE COMPANY | $14K | — | $14K | 5.00% |
| CHILD HEALTH CORP OF AMERICA3 | 16011 COLLEGE BLVD. STE 250 LENEXA, KS 66219 | HARTFORD LIFE AND ACCIDENT | $8K | $1K | $9K | 7.93% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT | — | $3K | $3K | 3.01% |
| DAVID W HARLESS3 | 3412 MANOR GROVE CIRCLE GLEN ALLEN, VA 23059 | AFLAC | $866 | $18 | $884 | 2.94% |
| MISC. AGENTS PAID LESS THAN 1003 | DETAIL AVAILABLE FROM CHS 601 CHILDREN'S LANE NORFOLK, VA 23507 | AFLAC | $683 | $9 | $692 | 2.30% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: CHARLES A BROWN | 8813 PIELS RD NORTH CHESTERFIELD, VA 23237 | AFLAC | $248 | $27 | $275 | 0.91% |
| DUANE A ADAMS3 | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $257 | — | $257 | 0.85% |
| CHRISTOPHER D LACKS3 | 12536 ST THOMAS CT MIDLOTHIAN, VA 23114 | AFLAC | $162 | $9 | $171 | 0.57% |
| JACK L DURHAM3 | 3200 HUNTS BRIDGE CT MIDLOTHIAN, VA 23112 | AFLAC | $156 | — | $156 | 0.52% |
| AON CONSULTING INC3 | P.O. BOX 905494 CHARLOTTE, NC 28290 | AFLAC | $126 | — | $126 | 0.42% |
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 | 3,177 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 28 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,221 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | OPTIMA HEALTH | 3,529 | $1.5M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 3,202 | $2.2M |
| Short-term disability(2 contracts) | AFLAC | 810 | $877K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 3,202 | $2.2M |
| Other(4 contracts, 3 carriers) | AFLAC | 3,177 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,529 | — |
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.