| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | ANTHEM BLUE CROSS AND BLUE SHIELD | $13K | — | $13K | 2.48% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | ANTHEM BLUE CROSS AND BLUE SHIELD | $11K | — | $11K | 2.48% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 150 WEST MAIN STREET SUITE 1840 NORFOLK, VA 23510 | UNITED CONCORDIA | $5K | — | $5K | 7.89% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 150 WEST MAIN STREET SUITE 1840 NORFOLK, VA 23510 | CIGNA GROUP INSURANCE | $4K | $278 | $4K | 11.73% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 150 WEST MAIN STREET SUITE 1840 NORFOLK, VA 23510 | CIGNA GROUP INSURANCE | $2K | $214 | $2K | 11.42% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 150 WEST MAIN STREET SUITE 1840 NORFOLK, VA 23510 | CIGNA GROUP INSURANCE | $505 | — | $505 | 11.99% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA, INC. | 150 WEST MAIN STREET SUITE 1840 NORFOLK, VA 23510 | CIGNA GROUP INSURANCE | $541 | $25 | $566 | 15.69% |
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 | 124 | 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) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | ANTHEM BLUE CROSS AND BLUE SHIELD | 117 | $970K |
| Dental | UNITED CONCORDIA | 213 | $65K |
| Vision(2 contracts) | ANTHEM BLUE CROSS AND BLUE SHIELD | 117 | $970K |
| Life insurance | CIGNA GROUP INSURANCE | 101 | $16K |
| Long-term disability | CIGNA GROUP INSURANCE | 61 | $34K |
| Other(2 contracts) | CIGNA GROUP INSURANCE | 101 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 213 | — |
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.