| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANIEL ROBERSON3 | 2670 UNION AVENUE SUITE 100 MEMPHIS, TN 38112 | BLUE CROSS BLUE SHIELD OF TENNESSEE, INC. | $36K | $0 | $36K | 6.12% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INSURANCE | 2670 UNION AVENUE EXT SUITE 100 MEMPHIS, TN 38112 | DELTA DENTAL OF TENNESSEE | $5K | $0 | $5K | 1.00% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS-SEE ATTACHMENT | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $13K | $860 | $14K | 21.22% |
| LIPSCOMB & PITTS INSURANCE LLC3 | 2670 UNION AVENUE EXT SUITE 200 MEMPHIS, TN 38112 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $71 | $4K | 11.90% |
| US NATIONAL BENEFIT PARTNERS WEST3 Filed as: US NATIONAL BENEFIT PARTNERS/B.JUND | 99 WOOD AVENUE SOUTH SUITE 500 ISELIN, CA 08830 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $496 | $496 | 1.65% |
| BENEFIT ADVISORS NETWORK LLC3 Filed as: BENEFIT ADVISORS NETWORK, LLC | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $116 | $116 | 0.39% |
| JOHN P WEBBER3 | 5050 POPLAR AVENUE #1200 MEMPHIS, TN 38157 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7 | $0 | $7 | 0.02% |
| SUNSTAR INSURANCE GROUP LLC3 | 9201 WATSON ROAD SUITE 300 ST. LOUIS, MO 63126 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7 | $0 | $7 | 0.02% |
| LIPSCOMB & PITTS INSURANCE LLC3 | 2670 UNION AVENUE EXT SUITE 200 MEMPHIS, TN 38112 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $61 | $4K | 15.21% |
| BENEFIT ADVISORS NETWORK LLC3 Filed as: BENEFIT ADVISORS NETWORK, LLC | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $79 | $79 | 0.28% |
| JOHN P WEBBER3 | 5050 POPLAR AVENUE #1200 MEMPHIS, TN 38157 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| SUNSTAR INSURANCE GROUP LLC3 | 9201 WATSON ROAD SUITE 300 ST. LOUIS, MO 63126 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| US NATIONAL BENEFIT PARTNERS WEST3 Filed as: US NATIONAL BENEFIT PARTNERS/B.JUND | 99 WOOD AVENUE SOUTH SUITE 500 ISELIN, CA 08830 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| LIPSCOMB & PITTS INSURANCE LLC3 | 2670 UNION AVENUE EXT SUITE 200 MEMPHIS, TN 38112 | VISION SERVICE PLAN | $993 | $0 | $993 | 7.59% |
| LIPSCOMB & PITTS INSURANCE LLC3 | 2670 UNION AVENUE EXT SUITE 200 MEMPHIS, TN 38112 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $13 | $1K | 20.22% |
| BENEFIT ADVISORS NETWORK LLC3 Filed as: BENEFIT ADVISORS NETWORK, LLC | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $18 | $18 | 0.29% |
| JOHN P WEBBER3 | 5050 POPLAR AVENUE #1200 MEMPHIS, TN 38157 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| SUNSTAR INSURANCE GROUP LLC3 | 9201 WATSON ROAD SUITE 300 ST. LOUIS, MO 63126 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| US NATIONAL BENEFIT PARTNERS WEST3 Filed as: US NATIONAL BENEFIT PARTNERS/B.JUND | 99 WOOD AVENUE SOUTH SUITE 500 ISELIN, CA 08830 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| LIPSCOMB & PITTS INSURANCE LLC3 | 2670 UNION AVENUE EXT SUITE 200 MEMPHIS, TN 38112 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $530 | $11 | $541 | 11.15% |
| SUNSTAR INSURANCE GROUP LLC3 | 9201 WATSON ROAD SUITE 300 ST. LOUIS, MO 63126 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $81 | $0 | $81 | 1.67% |
| BENEFIT ADVISORS NETWORK LLC3 Filed as: BENEFIT ADVISORS NETWORK, LLC | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $19 | $19 | 0.39% |
| JOHN P WEBBER3 | 5050 POPLAR AVENUE MEMPHIS, TN 38157 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4 | $0 | $4 | 0.08% |
| US NATIONAL BENEFIT PARTNERS WEST3 Filed as: US NATIONAL BENEFIT PARTNERS/B.JUND | 99 WOOD AVENUE SOUTH SUITE 500 ISELIN, CA 08830 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $2 | $2 | 0.04% |
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 | 118 | 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) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TENNESSEE, INC. | 136 | $583K |
| Dental | DELTA DENTAL OF TENNESSEE | 142 | $512K |
| Vision | VISION SERVICE PLAN | 87 | $13K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 114 | $11K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 34 | $28K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 117 | $30K |
| Other(3 contracts, 2 carriers) | AFLAC | 114 | $78K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 142 | — |
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.