| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 | 700 W. 47TH STREET, SUITE 1100 KANSAS CITY, MO 64112 | ANTHEM HEALTH PLANS OF VIRGINIA | $58K | $1K | $59K | 2.82% |
| JET EMPLOYEE BENEFITS3 | 153 E. FLAGLER STREET, #228 MIAMI, FL 33131 | ANTHEM HEALTH PLANS OF VIRGINIA | $12K | — | $12K | 0.59% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | 700 W. 47TH STREET, SUITE 1100 KANSAS CITY, MO 64112 | ANTHEM LIFE INSURANCE COMPANY | $14K | — | $14K | 9.00% |
| JET EMPLOYEE BENEFITS3 | 153 E. FLAGLER STREET, #228 MIAMI, FL 33131 | ANTHEM LIFE INSURANCE COMPANY | $10K | — | $10K | 6.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | 2290 LUCIEN WAY, SUITE 205 MAITLAND, FL 32751 | ANTHEM LIFE INSURANCE COMPANY - THE STANDARD | $965 | — | $965 | 9.00% |
| JUST IN TIME EDUCATION & TECH3 Filed as: JUST IN TIME ED. & TECH. | 153 E. FLAGLER STREET, #228 MIAMI, FL 33131 | ANTHEM LIFE INSURANCE COMPANY - THE STANDARD | $643 | — | $643 | 6.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | 2290 LUCIEN WAY, SUITE 205 MAITLAND, FL 32751 | ANTHEM LIFE INSURANCE COMPANY - THE STANDARD | $637 | — | $637 | 9.01% |
| JUST IN TIME EDUCATION & TECH3 Filed as: JUST IN TIME ED. & TECH. | 153 E. FLAGLER STREET, #228 MIAMI, FL 33131 | ANTHEM LIFE INSURANCE COMPANY - THE STANDARD | $424 | — | $424 | 5.99% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | 2290 LUCIEN WAY, SUITE 205 MAITLAND, FL 32751 | ANTHEM LIFE INSURANCE COMPANY - THE STANDARD | $336 | — | $336 | 9.01% |
| JUST IN TIME EDUCATION & TECH3 Filed as: JUST IN TIME ED. & TECH. | 153 E. FLAGLER STREET, #228 MIAMI, FL 33131 | ANTHEM LIFE INSURANCE COMPANY - THE STANDARD | $224 | — | $224 | 6.01% |
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 | 332 | 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) | 332 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF VIRGINIA | 232 | $2.1M |
| Dental | ANTHEM HEALTH PLANS OF VIRGINIA | 232 | $2.1M |
| Vision | ANTHEM HEALTH PLANS OF VIRGINIA | 232 | $2.1M |
| Life insurance(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 332 | $170K |
| Short-term disability(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 121 | $167K |
| Long-term disability(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 284 | $163K |
| Prescription drug | ANTHEM HEALTH PLANS OF VIRGINIA | 232 | $2.1M |
| Other(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 332 | $170K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 332 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.