| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BANKERS INSURANCE LLC3 | 120 CROWN DRIVE SUITE A DANVILLE, VA 24540 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $27K | $0 | $27K | 3.90% |
| BANKERS INSURANCE LLC3 | 4490 COX RD GLEN ALLEN, VA 23060 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $0 | $6K | 8.83% |
| ARTURO BANUELOS3 | 102 WAYNE DR LYNCHBURG, VA 24502 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $186 | $2K | 3.05% |
| MADELYN RENE PELCHAT3 | 1004 MAPLE AVENUE EAST VIENNA, VA 22180 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 1.78% |
| SHERRY JANE HUBBARD3 | PO BOX 102 STANLEYTOWN, VA 24168 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $871 | $0 | $871 | 1.31% |
| JESSICA MICHELLE OLIVE3 | 15 GOODWIN STREET FREDERICKSBURG, VA 22406 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $410 | $460 | $870 | 1.31% |
| TRACY DEAN VIA3 | 103 WOOD STREET MARTINSVILLE, VA 24112 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $529 | $2 | $531 | 0.80% |
| WENDI DAE FOLEY3 | 5028 HENRY RD HENRY, VA 24102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $394 | $0 | $394 | 0.59% |
| E B SPECIALISTS INC3 | 4329 HAWKINS MILL RD LYNCHBURG, VA 24503 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $245 | $50 | $295 | 0.44% |
| LESLIE I DRAPER3 Filed as: LESLIE DRAPER | 4270 SOUTH FORK AVE HICKORY, NC 28602 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $147 | $0 | $147 | 0.22% |
| ERIC S. BARNETT3 | 339 E MEADOW RD EDEN, NC 27288 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | $0 | $30 | 0.05% |
| SHAWN K STEPHENS3 Filed as: SHAWN K. STEPHENS | 119 SABAL RIDGE LANE MELBOURNE, FL 32951 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | $4 | $27 | 0.04% |
| ASHLEY SIMPSON GOINS3 | 165 PRITCHETT FARM RD DRY FORK, VA 24549 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | $0 | $16 | 0.02% |
| BANKERS INSURANCE LLC3 | 4490 COX RD GLEN ALLEN, VA 23060 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| BANKERS INSURANCE LLC3 | 1 STAFFORD CMNS PRINCETON, WV 24740 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $444 | $444 | 2.50% |
| MADELYN RENE PELCHAT3 | 1004 MAPLE AVENUE EAST VIENNA, VA 22180 | THE PAUL REVERE LIFE INSURANCE COMPANY | $108 | $0 | $108 | 1.02% |
| AIKEN ENTERPRISES LLC3 | 341 GILLIGAN RD HUDSON, NY 12534 | THE PAUL REVERE LIFE INSURANCE COMPANY | $101 | $0 | $101 | 0.96% |
| COLIN M. AIKEN3 | 1009 SE 46TH LANE APT 204 CAPE CORAL, FL 33904 | THE PAUL REVERE LIFE INSURANCE COMPANY | $81 | $0 | $81 | 0.77% |
| JOAQUIN MIRANDA3 | 2727 SW 1ST AVENUE CAPE CORAL, FL 33914 | THE PAUL REVERE LIFE INSURANCE COMPANY | $7 | $0 | $7 | 0.07% |
| TIFFANY ANITA MIRANDA3 | 2727 SW 1ST AVENUE CAPE CORAL, FL 33914 | THE PAUL REVERE LIFE INSURANCE COMPANY | $7 | $0 | $7 | 0.07% |
| BANKERS INSURANCE LLC3 | 4490 COX ROAD GLEN ALLEN, VA 23060 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $983 | $0 | $983 | 12.47% |
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 | 110 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 95 | $693K |
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 95 | $693K |
| Vision(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 110 | $701K |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 101 | $95K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 110 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.