| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | P.O. BOX 61007 VIRGINIA BEACH, VA 234661007 | PRINCIPAL LIFE INSURANCE COMPANY | $19K | — | $19K | 10.00% |
| USI INSURANCE SERVICES LLC3 | P.O. BOX 62889 VIRGINIA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $4K | $12K | 9.04% |
| USI INSURANCE SERVICES LLC3 | P.O. BOX 61007 VIRGINIA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | — | $412 | $412 | 0.31% |
| KENNETH W SHOLAR3 | 4608 WESTGROVE COURT HAYGOOD EXECUTIVE PARK VIRGINIA BEACH, VA 23455 | AFLAC | $3K | $52 | $3K | 6.08% |
| BRANDON SHOLAR3 Filed as: BRANDON W SHOLAR | 4608 WESTGROVE COURT VIRGINIA BEACH, VA 23455 | AFLAC | $1K | — | $1K | 1.93% |
| SHERRY SHOLAR3 Filed as: SHERRY E SHOLAR | 416 CARLISLE ROAD CHESAPEAKE, VA 23321 | AFLAC | $513 | — | $513 | 0.98% |
| ROY MANGUM3 | 109 GULLAN SMITHFIELD, VA 23430 | AFLAC | $379 | — | $379 | 0.72% |
| MEGAN DANCEL3 | 2006 MEADOW DRIVE BLUE BELL, PA 19422 | AFLAC | $371 | — | $371 | 0.71% |
| PLUMB & ASSOCIATES INC3 | 3228 DEER PARK DRIVE VIRGINIA BEACH, VA 23452 | AFLAC | $355 | — | $355 | 0.67% |
| ANDREA L SHERMAN3 | 2428 ALMEDA AVE STE 300 NORFOLK, VA 23513 | AFLAC | $319 | $12 | $331 | 0.63% |
| NICHOLAS WAGNER3 | 1508 BACK COVE ROAD VIRGINIA BEACH, VA 23454 | AFLAC | $317 | — | $317 | 0.60% |
| LAWRENCE WAYNE CROCKER3 | 212 CHEYENNE RD VIRGINIA BEACH, VA 23462 | AFLAC | $184 | — | $184 | 0.35% |
| RICHARD J KRESINSKE3 | 4004 ATLANTIC AVENUE APT 803 VIRGINIA BEACH, VA 23451 | AFLAC | $159 | — | $159 | 0.30% |
| DAVID N MORGAN3 | 906 MERCHANT LEE PL MANAKIN SABOT, VA 23103 | AFLAC | $124 | — | $124 | 0.24% |
| SUZANNE RACHELLE CRAWLEY3 | 3829 SOUTH PLAZA TRAIL VIRGINIA BEACH, VA 23452 | AFLAC | $121 | — | $121 | 0.23% |
| USI INSURANCE SERVICES LLC3 | 1007 N ORANGE ST STE 115 WILMINGTON, DE 19801 | AFLAC | $120 | — | $120 | 0.23% |
| SHAWN K STEPHENS3 | 1323 GRAHAM TRACE LN LEAGUE CITY, TX 77573 | AFLAC | $113 | — | $113 | 0.21% |
| VICKY H KRESINSKE3 | 3981 W STRATFORD RD VIRGINIA BEACH, VA 23455 | AFLAC | $60 | — | $60 | 0.11% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: JAMES GRAYDON BROWN | 2522 OWENS LANDING TRL NW KENNESAW, GA 30152 | AFLAC | $41 | — | $41 | 0.08% |
| LORI H RICHARDSON3 | 3730 SAPPHIRE DR AUGUSTA, GA 30907 | AFLAC | $37 | — | $37 | 0.07% |
| DUANE A ADAMS3 | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $23 | — | $23 | 0.04% |
| MICHAEL FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $15 | — | $15 | 0.03% |
| GREGORY D HILL3 | 16142 SWALLOWTAIL PL MIDLOTHIAN, VA 23113 | AFLAC | $13 | — | $13 | 0.02% |
| AMELIA MORGAN3 Filed as: AMELIA KAY MORGAN | 1904 ELLIS DR MAIDENS, VA 23102 | AFLAC | $9 | — | $9 | 0.02% |
| MEGAN EASTBURN3 | 1029 TEALWOOD DRIVE VIRGINIA BEACH, VA 23453 | AFLAC | $8 | — | $8 | 0.02% |
| RUSSELL TINNEY3 | 3440 TORRINGTON WAY APT 7 FAYETTEVILLE, NC 28314 | AFLAC | $5 | — | $5 | 0.01% |
| LINDSEY JO MARTIN3 | 1450 N ULMER ST GREENWOOD, AR 72936 | AFLAC | $3 | — | $3 | 0.01% |
| JEFFERY S GIBSON3 Filed as: JEFFERY SCOTT GIBSON | 200 W ELM STREET SUITE 1225 CONSHOHOCKEN, PA 19428 | AFLAC | $2 | — | $2 | 0.00% |
| SHEILA L RAITCH3 Filed as: SHEILA RAITCH | 5524 LIBER CT GAINESVILLE, VA 20155 | AFLAC | $2 | — | $2 | 0.00% |
| JEANNETTE E FATHERREE3 | 171 COUNTY ROAD 1559 ALBA, TX 75410 | AFLAC | $1 | — | $1 | 0.00% |
| USI INSURANCE SERVICES LLC3 | P.O. BOX 61007 VIRGINIA BEACH, VA 23466 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 9.49% |
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 | 200 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | OPTIMA BEHAVIORAL HEALTH SERVICES, INC. | 230 | $3K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 565 | $132K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 177 | $22K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 204 | $188K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 204 | $188K |
| Other | AFLAC | 37 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 565 | — |
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.