| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $13K | $0 | $13K | 1.40% |
| USI INSURANCE SERVICES LLC3 | UNKNOWN VIRGINIA BEACH, VA 23452 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $4K | $0 | $4K | 0.41% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 62817 VIRGINIA BEACH, VA 23466 | HEALTHKEEPERS, INC. | $13K | $0 | $13K | 2.64% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | $1K | $9K | 17.04% |
| BRANDON SHOLAR3 Filed as: BRANDON W. SHOLAR | 4608 WEST GROVE COURT VIRGINIA BEACH, VA 23455 | AFLAC | $928 | $53 | $981 | 5.17% |
| SUZANNE RACHELLE CRAWLEY3 | 3829 SOUTH PLAZA TRAIL VIRGINIA BEACH, VA 23452 | AFLAC | $793 | $53 | $846 | 4.46% |
| MJ INSURANCE3 Filed as: DIANA M MERCIEZ AND VARIOUS AGENTS | 2541 BELMON STAKES DRIVE VIRGINIA BEACH, VA 23456 | AFLAC | $804 | $0 | $804 | 4.24% |
| PLUMB & ASSOCIATES INC3 Filed as: PLUMB AND ASSOCIATES, INC. | 3228 DEER PARK DRIVE VIRGINIA BEACH, VA 23452 | AFLAC | $465 | $21 | $486 | 2.56% |
| NICHOLAS WAGNER3 | 4665 HAYGOOD ROAD, SUITE 402 VIRGINIA BEACH, VA 23455 | AFLAC | $309 | $21 | $330 | 1.74% |
| USI INSURANCE SERVICES LLC3 | 1007 NORTH ORANGE STREET SUITE 1115 VIRGINIA BEACH, VA 19801 | AFLAC | $176 | $0 | $176 | 0.93% |
| SUZANNE RACHELLE CRAWLEY3 | 3829 SOUTH PLAZA TRAIL VIRGINIA BEACH, VA 23452 | AFLAC | $121 | $0 | $121 | 0.64% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 61007 VIRGINIA BEACH, VA 23466 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $929 | $0 | $929 | 10.62% |
| USI INSURANCE SERVICES LLC3 | UNKNOWN VIRGINIA BEACH, VA 23452 | SELMANCO | $98 | $0 | $98 | 6.23% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62689 SOUTHEAST DIVISION 401 VIRGINIA BEACH, VA 23466 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $188 | $13 | $201 | 16.08% |
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 | 64 | 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) | 64 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 66 | $1.4M |
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 66 | $932K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 109 | $9K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 64 | $52K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 64 | $52K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 64 | $52K |
| Prescription drug(3 contracts, 3 carriers) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 66 | $1.4M |
| Other(4 contracts, 4 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 66 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 109 | — |
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.