| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES A SCOTT & SON INC3 | 1301 OLD GRAVES MILL ROAD LYNCHBURG, VA 24502 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | 2.52% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES A SCOTT & SONS INC | 1301 OLD GRAVES MILL ROAD LYNCHBURG, VA 24502 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.17% |
| SUSAN N ADAMS3 | 10015 WEST BROAD STREET GLEN ALLEN, VA 23060 | CONTINENTAL AMERICAN INSURANCE COMPANY | $857 | — | $857 | 1.52% |
| SHANDA R PARKER3 | 3419 GARLAND AVENUE RICHMOND, VA 23222 | CONTINENTAL AMERICAN INSURANCE COMPANY | $303 | — | $303 | 0.54% |
| JOSHUA C BURTON3 Filed as: JOSHUA BURTON | 4805 LAKEBROOK DRIVE SUITE 220 GLEN ALLEN, VA 23060 | CONTINENTAL AMERICAN INSURANCE COMPANY | $251 | — | $251 | 0.45% |
| BRENMARIE MENDOZA3 | 385 RED OAK DRIVE HOPEWELL, VA 23860 | CONTINENTAL AMERICAN INSURANCE COMPANY | $219 | — | $219 | 0.39% |
| ANGELA T ADAMS3 | SIMMS INS AGENCY PO BOX 364 MADISON, VA 22727 | CONTINENTAL AMERICAN INSURANCE COMPANY | $186 | — | $186 | 0.33% |
| AMANDA M GRIFFITH3 Filed as: AMANDA BANKS | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $179 | — | $179 | 0.32% |
| STEPHANIE SHEPPA3 Filed as: STEPHANIE VANHOUTEN | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $90 | — | $90 | 0.16% |
| AMANDA BURGOS3 | 14 NORTH ELM AVENUE HIGHLAND SPRINGS, VA 23075 | CONTINENTAL AMERICAN INSURANCE COMPANY | $67 | — | $67 | 0.12% |
| STEPHANIE MONDRAGON3 | 1001 HOWERTON ROAD DUNNSVILLE, VA 22454 | CONTINENTAL AMERICAN INSURANCE COMPANY | $25 | — | $25 | 0.04% |
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 | 198 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 147 | $16K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 191 | $83K |
| Short-term disability(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 191 | $139K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 191 | $83K |
| Other(3 contracts, 3 carriers) | ANTHEM LIFE INSURANCE COMPANY | 191 | $155K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 191 | — |
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.