Form 5500 · Employee benefit plan · VIRGINIA BEACH, VA
ATLANTIC DIVING SUPPLY, INC.
The filing calls this plan ATLANTIC DIVING SUPPLY, INC. EMPLOYEE BENEFITS PLAN.
ATLANTIC DIVING SUPPLY, INC. of VIRGINIA BEACH, VA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is JAMES A SCOTT & SON INC. Coverage is written through SENTARA HEALTH PLAN and 8 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 54-1867268 · plan 501 · plan year 2025, filed Dec 12, 2025
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167 other employer plans in Virginia have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 16 insured contracts covering health, dental, vision, life and disability; the largest, with SENTARA HEALTH PLAN, covers 239 people.
Reported premium across the insured contracts is $4,169,149, with $12,759 in disclosed broker commissions — about 0.3% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
JAMES A SCOTT & SON INC is the broker of record on 1 of the 16 contracts; the rest name a different broker or none.
9 carriers appear on the filing, including SENTARA HEALTH PLAN, SHIC PPO, SHIC OOA IND and METROPOLITAN LIFE INSURANCE COMPANY. SENTARA HEALTH PLAN writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 3 | Jul 1, 2025 | $90,364 | $9,036 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 995 | Jul 1, 2025 | $228,673 | $2,558 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 4 | Jul 1, 2025 | $28,510 | $998 |
| VISION SERVICE PLAN | Vision | 287 | Jul 1, 2025 | $33,355 | $167 |
| SENTARA HEALTH PLAN | Health | 239 | Jul 1, 2025 | $2,044,447 | $0 |
| SHIC PPO | Health | 45 | Jul 1, 2025 | $596,534 | $0 |
| SHIC OOA IND | Health | 34 | Jul 1, 2025 | $514,571 | $0 |
| SHIC PPO | Health | 4 | Jul 1, 2025 | $153,296 | $0 |
| STANDARD INSURANCE COMPANY | Disability | 424 | Jul 1, 2025 | $150,790 | $0 |
| STANDARD INSURANCE COMPANY | Life | 424 | Jul 1, 2025 | $115,501 | $0 |
| SENTARA HEALTH PLAN | Health | 8 | Jul 1, 2025 | $76,178 | $0 |
| STANDARD INSURANCE COMPANY | Disability | 424 | Jul 1, 2025 | $56,597 | $0 |
| SHIC PPO | Health | 1 | Jul 1, 2025 | $31,306 | $0 |
| SHIC PPO | Health | 2 | Jul 1, 2025 | $25,848 | $0 |
| SENTARA HEALTH PLAN | Health | 2 | Jul 1, 2025 | $12,926 | $0 |
| ADS INC | Health | 1 | Jul 1, 2025 | $10,253 | $0 |
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 165917. For the contract year on this filing, the carrier reported $150,790 in premium earned and $108,644 in claims incurred. Dividing one by the other gives 72%.
STANDARD INSURANCE COMPANY, contract 165917. For the contract year on this filing, the carrier reported $115,501 in premium earned and $198,334 in claims incurred. Dividing one by the other gives 172%.
- STANDARD INSURANCE COMPANY, contract 165917 reported $52,883 in retention.
- STANDARD INSURANCE COMPANY, contract 165917 reported $24,862 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 396 employees, 1 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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