| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | P O BOX 66119 VIRGINIA BEACH, VA 23466 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $59K | $2K | $61K | 6.03% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES A. SCOTT & SON, INC. | 1301 OLD GRAVES MILL ROAD LYNCHBURG, VA 24502 | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | $40K | $0 | $40K | 4.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | P O BOX 66119 VIRGINIA BEACH, VA 23466 | HEALTHKEEPERS, INC. | $59K | $2K | $61K | 6.03% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES A. SCOTT & SON, INC. | 1301 OLD GRAVES MILL ROAD LYNCHBURG, VA 24502 | HEALTHKEEPERS, INC. | $40K | $0 | $40K | 4.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | UNKNOWN PORTLAND, OR 97204 | ANTHEM LIFE INSURANCE COMPANY | $14K | $0 | $14K | 9.18% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES A. SCOTT & SON, INC. | 1301 OLD GRAVES MILL ROAD LYNCHBURG, VA 24502 | ANTHEM LIFE INSURANCE COMPANY | $9K | $0 | $9K | 5.63% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 61007 VIRGINIA BEACH, VA 23466 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INSURANCE C | $2K | — | $2K | 6.22% |
| PAN-AMERICAN LIFE5 | 601 POYDRAS STREET NEW ORLEANS, LA 70130 | PAN AMERICA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 10.99% |
| UNKNOWN3 | UNKNOWN CHESTER, VA 23836 | PAN AMERICA LIFE INSURANCE COMPANY | — | $865 | $865 | 5.75% |
| PAN-AMERICAN BENEFIT SOLUTIONS3 | 1778 NO PLANO ROAD, SUITE 310 RICHARDSON, TX 75081 | PAN AMERICA LIFE INSURANCE COMPANY | $856 | $0 | $856 | 5.69% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 4840 COX ROAD, SUITE 150 GLEN ALLEN, VA 23060 | PAN AMERICA LIFE INSURANCE COMPANY | $785 | $0 | $785 | 5.22% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES A. SCOTT & SON, INC. | 1301 GRAVES MILL ROAD LYNCHBURG, VA 25402 | PAN AMERICA LIFE INSURANCE COMPANY | $768 | — | $768 | 5.10% |
| RXEDO3 | PO BOX 678586 DALLAS, TX 75267 | PAN AMERICA LIFE INSURANCE COMPANY | — | $3 | $3 | 0.02% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | P O BOX 66119 VIRGINIA BEACH, VA 23466 | ANTHEM LIFE INSURANCE COMPANY | $2K | $0 | $2K | 13.99% |
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 | 300 | 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) | 300 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 104 | $1.0M |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INSURANCE C | 495 | $34K |
| Life insurance(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 300 | $162K |
| Short-term disability(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 300 | $162K |
| Long-term disability(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 300 | $162K |
| Prescription drug | ANTHEM HEALTH PLANS OF VIRGINIA, INC. | 104 | $1.0M |
| Other(3 contracts, 2 carriers) | HEALTHKEEPERS, INC. | 835 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 835 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.