| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 1120 MADISON AVENUE TOLEDO, OH 43604 | HEALTHKEEPERS, INC. | $10K | — | $10K | 1.60% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 1120 MADISON AVENUE TOLEDO, OH 43604 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $9K | — | $9K | 1.60% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 101 WEST MAIN STREET, SUITE 900 NORFOLK, VA 23510 | UNITED CONCORDIA INSURANCE COMPANY | $5K | $375 | $5K | 5.42% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 61007 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | $12K | — | $12K | 15.00% |
| BRANDON SHOLAR3 Filed as: BRANDON W. SHOLAR | 4608 WESTGROVE COURT VIRGINIA BEACH, VA 23455 | AFLAC | $1K | $33 | $1K | 5.07% |
| SUZANNE RACHELLE CRAWLEY3 | 3829 SOUTH PLAZA TRAIL VIRGINIA BEACH, VA 23452 | AFLAC | $1K | $33 | $1K | 4.58% |
| DIANA M MERCIEZ3 Filed as: DIANA M. MERCIEZ AND OTHER AGENTS | 2541 BELMONT STAKES DRIVE VIRGINIA BEACH, VA 23456 | AFLAC | $1K | — | $1K | 4.52% |
| PLUMB & ASSOCIATES INC3 Filed as: PLUMB AND ASSOCIATES, INCORPORATED | 3228 DEER PARK DRIVE VIRGINIA BEACH, VA 23452 | AFLAC | $635 | $13 | $648 | 2.21% |
| NICHOLAS WAGNER3 | 4665 HAYGOOD ROAD, SUITE 402 VIRGINIA BEACH, VA 23455 | AFLAC | $481 | $13 | $494 | 1.68% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 2604 BARRETT STREET, SUITE 289 VIRGINIA BEACH, VA 23452 | AFLAC | $352 | — | $352 | 1.20% |
| ROY MANGUM3 Filed as: ROY W. MANGUM | 109 GULLAN SMITHFIELD, VA 23430 | AFLAC | $237 | — | $237 | 0.81% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 61007 VIRGINIA BEACH, VA 23466 | EYEMED VISION CARE | $1K | — | $1K | 9.23% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 61007 VIRGINIA BEACH, VA 23466 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $188 | — | $188 | 15.04% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 101 WEST MAIN STREET, SUITE 900 NORFOLK, VA 23510 | MONUMENTAL LIFE INSURANCE COMPANY | $79 | — | $79 | 10.05% |
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 | 128 | 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) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | HEALTHKEEPERS, INC. | 100 | $1.2M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 225 | $95K |
| Vision | EYEMED VISION CARE | 195 | $15K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 123 | $77K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 123 | $77K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 123 | $77K |
| Prescription drug(3 contracts, 3 carriers) | HEALTHKEEPERS, INC. | 100 | $1.2M |
| Other(4 contracts, 4 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 128 | $109K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 225 | — |
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."
No prospect flags tripped on this filing.