| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEVEN LEWIS3 | 200 LIBERTY ST. ONE WORLD FINANCIAL CENTER NEW YORK, NY 10281 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $54K | — | $54K | 3.90% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK INC. | 200 LIBERTY ST. NEW YORK, NY 10281 | SYMETRA LIFE INSURANCE COMPANY | $17K | $5K | $22K | 19.33% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK | 200 LIBERTY CENTER NEW YORK, NY 10281 | DELTA DENTAL OF TENNESSEE | $8K | — | $8K | 7.50% |
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 | 376 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 376 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 376 | $1.4M |
| Dental | DELTA DENTAL OF TENNESSEE | 323 | $101K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 376 | $1.4M |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 193 | $116K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 193 | $116K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 193 | $116K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 193 | $116K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 376 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.