Form 5500 · Employee benefit plan · FAIRFAX, VA
FAIRFAX RADIOLOGY CENTERS LLC
The filing calls this plan FAIRFAX RADIOLOGY CENTERS, LLC HEALTH AND WELFARE BENEFIT PLAN.
Public Form 5500 records show how FAIRFAX RADIOLOGY CENTERS LLC of FAIRFAX, VA, a health care and social assistance employer, structures its employee benefits. Its broker of record is THE MELTZER GROUP, INC.. Coverage is written through GROUP HOSPITALIZATION MEDICAL SERVICES, INC. and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 54-0846558 · plan 513 · plan year 2025, filed May 12, 2026
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1,326 other employer plans in Virginia have policy years ending in December. 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: death benefits.
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 8 insured contracts covering health, dental, vision, life and disability; the largest, with GROUP HOSPITALIZATION MEDICAL SERVICES, INC., covers 1,018 people.
Reported premium across the insured contracts is $9,428,452, with $107,538 in disclosed broker commissions — about 1.1% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
THE MELTZER GROUP, INC. is the broker of record on all 8 contracts.
4 carriers appear on the filing, including GROUP HOSPITALIZATION MEDICAL SERVICES, INC., UNUM LIFE INSURANCE COMPANY OF AMERICA, VISION SERVICE PLAN and UNUM INSURANCE COMPANY. GROUP HOSPITALIZATION MEDICAL SERVICES, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 668 | Jan 1, 2026 | $939,641 | $65,775 |
| GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | Dental | 1,013 | Jan 1, 2026 | $443,209 | $16,252 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 310 | Jan 1, 2026 | $221,069 | $11,053 |
| UNUM INSURANCE COMPANY | — | 118 | Jan 1, 2026 | $40,677 | $5,826 |
| UNUM INSURANCE COMPANY | — | 67 | Jan 1, 2026 | $12,749 | $3,382 |
| UNUM INSURANCE COMPANY | — | 51 | Jan 1, 2026 | $13,182 | $3,308 |
| VISION SERVICE PLAN | Vision | 517 | Jan 1, 2026 | $55,123 | $1,942 |
| GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | Health, Dental | 1,018 | Jan 1, 2026 | $7,702,802 | $0 |
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.
Other plans filed by this employer
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