| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $5K | $14K | 23.37% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61007 VIRGINIA BEACH, VA 23466 | VISION SERVICE PLAN | $753 | $0 | $753 | 7.24% |
| RICHARD JOSEPH ZILLER JR3 Filed as: RICHARD ZILLER JR | 20115 MUIRFIELD VILLAGE COURT ASHBURN, VA 20147 | AFLAC | $255 | $0 | $255 | 14.07% |
| KATHRYN ROBISON ZILLER3 Filed as: KATHRYN ZILLER | 20115 MUIRFIELD VILLAGE COURT ASHBURN, VA 20147 | AFLAC | $103 | $0 | $103 | 5.68% |
| SHEILA L RAITCH3 Filed as: SHEILA RAITCH | 5524 LIBER COURT GAINESVILLE, VA 20155 | AFLAC | $87 | $0 | $87 | 4.80% |
| DAVID SCHENKEL JR3 | 4000 BLACKBURN LANE, SUITE 260 BURTONSVILLE, MD 20866 | AFLAC | $47 | $0 | $47 | 2.59% |
| LAYNE FINANCIAL INC3 Filed as: LAYNE FINANCIAL AND OTHER AGENTS | 3009 WILMINGTON RD NEW CASTLE, PA 16105 | AFLAC | $19 | $0 | $19 | 1.05% |
| MICHAEL MARTIN3 | 32 OLD HICKORY PITTSBORO, NC 27312 | AFLAC | $14 | $0 | $14 | 0.77% |
| ROBERT A ANDERSON3 Filed as: ROBERT ANDERSON | 13710 GENERAL GEARY COURT FREDERICKSBURG, VA 22407 | AFLAC | $11 | $0 | $11 | 0.61% |
| USI INSURANCE SERVICES LLC3 | UNKNOWN ASHBURN, VA 20147 | LEGAL CLUB OF AMERICA | $314 | $0 | $314 | 41.53% |
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 | 77 | 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) | 77 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 55 | $10K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 77 | $61K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 77 | $61K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 77 | $61K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 77 | $63K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 77 | — |
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.