| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 1125 SANCTUARY PKWY STE 300 ALPHARETTA, GA 30009 | ANTHEM LIFE INSURANCE COMPANY | $34K | — | $34K | 5.34% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VERGINIA,INC | 4951 LAKE BROOK DR STE 300 GLEN ALLEN, VA 23060 | ANTHEM LIFE INSURANCE COMPANY | $6K | — | $6K | 0.96% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 1125 SANCTUARY PKWY STE 300 ALPHARETTA, GA 30009 | ANTHEM HEALTH PLANS OF VIRGINIA INC | $18K | $2K | $21K | 6.80% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES LLC | 5444 WESTHEIMER ROAD #900 HOUSTON, TX 77056 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 9.91% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM LIFE INSURANCE COMPANY EIN 35-0980405 ADMINISTRATIVE AGREEMENT | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Other services; Claims processing; Float revenue Service code 12 | — | $12K |
| ALLIANT INSURANCE SERVICES INC BROKERAGE COMMISSION | Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | 701 B ST 6TH FL SAN DIEGO, CA 92101 | $0 |
| WILLIS OF VIRGINIA INC BROKERAGE COMMISSION | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | 4951 LAKE BROOK DRIVE GLEN ALLEN, VA 23060 | $0 |
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 | 438 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 441 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTHKEEPERS INC | 377 | $5.7M |
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA INC | 269 | $306K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 484 | $31K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 441 | $633K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 441 | $633K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 441 | $633K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 484 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.