| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF MARYLAND LLC | 540 FORT EVANS ROAD SUITE 301 LEESBURG, VA 20176 | HARTFORD LIFE AND ACCIDENT | $29K | $651 | $29K | 15.46% |
| MANAGED BENEFITS, INC.3 Filed as: MANAGED BENEFIT, INC. | 4323 COX RD GLEN ALLEN, VA 23060 | HARTFORD LIFE AND ACCIDENT | $12K | — | $12K | 6.48% |
| MANAGED BENEFITS, INC.3 | 4900 COX ROAD #170 GLEN ALLEN, VA 23060 | DELTA DENTAL OF VIRGINIA | $18K | — | $18K | 10.08% |
| MANAGED BENEFITS, INC.3 | 4323 COX ROAD GLEN ALLEN, VA 23060 | VSP | $3K | — | $3K | 10.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF VIRGINIA DBA EIN 54-0357120 RECORDKEEPER | Claims processing; Contract Administrator; Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $37K |
| DMANAGED BENEFITS, INC. BROKER | Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | 4900 COX ROAD GLEN ALLEN, VA 23060 | $0 |
| INGENIORX, INC. EIN 82-3062245 RX VENDOR | Contract Administrator; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $0 |
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 | 488 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 488 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF VIRGINIA | 575 | $183K |
| Vision | VSP | 304 | $35K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 185 | $190K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 185 | $190K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 185 | $190K |
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF VIRGINIA | 488 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 575 | — |
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.