| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TFA BENEFITS3 | 397 LITTLE NECK RD., STE.108 BLDG 3300 VIRGINIA BEACH, VA 23452 | ANTHEM HEALTH PLANS OF VIRGINIA | $12K | $0 | $12K | 2.40% |
| TFA BENEFITS3 | 397 LITTLE NECK RD., STE. 108 BLDG. 3300 VIRGINIA BEACH, VA 23452 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $3K | $0 | $3K | 5.00% |
| W. TAYLOR JOHNSON EMPLOYEE BENEFITS3 | 301 BENDIX RD. STE. 300 CONVERGENCE CTR. IV VIRGINIA BEACH, VA 23452 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $0 | $5K | 14.82% |
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 | 106 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 113 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA | 94 | $480K |
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 104 | $54K |
| Vision | ANTHEM HEALTH PLANS OF VIRGINIA | 94 | $480K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 120 | $31K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 120 | $31K |
| Prescription drug | ANTHEM HEALTH PLANS OF VIRGINIA | 94 | $480K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.