| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND | 540 FORT EVANS RD., STE. 301 LEESBURG, VA 20176 | HCC LIFE INSURANCE COMPANY | $14K | — | $14K | 1.74% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF VIRGINIA | 263 W. MAIN ST. ABDINGTON, VA 24210 | DELTA DENTAL OF VIRGINIA | $5K | — | $5K | 2.50% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND | 540 FOR EVANS RD. NE, STE. 301 LEESBURG, VA 20176 | ANTHEM LIFE INSURANCE COMPANY | $13K | — | $13K | 18.13% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF VIRGINIA | 540 FORT EVANS RD., STE. 301 LEESBURG, VA 20176 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | — | $7K | 10.00% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND | 118 EDENDERRY AVE. CENTREVILLE, MD 21617 | EYEMED VISION CENTER CARE | $4K | — | $4K | 9.95% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $276K |
| HILB GROUP OF MARYLAND EIN 80-0887008 BROKER | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | — | $107K |
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 | 368 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 373 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF VIRGINIA | 520 | $186K |
| Vision | EYEMED VISION CENTER CARE | 450 | $36K |
| Life insurance(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 368 | $139K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 368 | $70K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 292 | $788K |
| Other(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 368 | $139K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 520 | — |
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.