| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANIEL ROBERSON3 | 2670 UNION AVE STE 200 MEMPHIS, TN 38112 | BLUECROSS BLUESHIELD OF TENNESSEE INC | $37K | $0 | $37K | 4.85% |
| ADAM JAY BLAIN3 Filed as: ADAM J BLAIN | 7921 ELM LEAF DR GERMANTOWN, TN 38138 | AFLAC | $5K | $153 | $5K | 7.58% |
| JONATHAN L PENNINGTON3 | 1154 RAVENNA CV COLLIERVILLE, TN 38017 | AFLAC | $4K | $208 | $4K | 6.66% |
| BILL W MOSS3 | 8553 BELL BROOK DR OLIVE BRANCH, MS 38654 | AFLAC | $972 | $26 | $998 | 1.52% |
| WILLIAM T GANT3 | 117 HILLSONG LN BRIGHTON, TN 38011 | AFLAC | $908 | $51 | $959 | 1.46% |
| TIMOTHY J REED3 Filed as: TIMOTHY S INGRAM | 1731 MOUNT ZION RD JACKSONVILLE, IL 62650 | AFLAC | $610 | $0 | $610 | 0.93% |
| DANIEL G ALLEN3 | 1470 BEAVER CREEK RD BRIGHTON, TN 38011 | AFLAC | $198 | $36 | $234 | 0.36% |
| JAMES C FARMER JR3 | 261 CRIMSON SKY CT DRIPPING SPRINGS, TX 78620 | AFLAC | $147 | $56 | $203 | 0.31% |
| BELINDA JEAN LEGGETT3 | 9335 OSBORN RD ARLINGTON, TN 38002 | AFLAC | $158 | $0 | $158 | 0.24% |
| LATRICE JACKSON3 | 905 ABBEY GROVE LN CORDOVA, TN 38018 | AFLAC | $83 | $0 | $83 | 0.13% |
| EDWIN W BARNETT3 | 7906 PLAYERS FOREST DR STE 1 MEMPHIS, TN 38119 | AFLAC | $81 | $0 | $81 | 0.12% |
| COURTNEY LEIGH SANDRIDGE3 | 5061 EAGLES NEST LN ARLINGTON, TN 38002 | AFLAC | $69 | $0 | $69 | 0.10% |
| WILLIAM T GANT3 | 5100 POPLAR AVE STE 31058 MEMPHIS, TN 38137 | AFLAC | $69 | $0 | $69 | 0.10% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INS LLC | 2670 UNION AVE EXT STE 100 MEMPHIS, TN 38112 | DELTA DENTAL OF TENNESSEE | $5K | $0 | $5K | 10.00% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INS LLC | 2670 UNION AVE EXT STE 200 MEMPHIS, TN 38112 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $744 | $6K | 17.31% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INS LLC | 2670 UNION AVE EXT STE 200 MEMPHIS, TN 38112 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $735 | $4K | 14.61% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INS LLC | 2670 UNION AVE EXT STE 200 MEMPHIS, TN 38112 | VISION SERVICE PLAN | $810 | $0 | $810 | 5.55% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INS LLC | 2670 UNION AVE EXT STE 200 MEMPHIS, TN 38112 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $158 | $1K | 22.49% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INS LLC | 2670 UNION AVE EXT STE 200 MEMPHIS, TN 38112 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $469 | $117 | $586 | 13.76% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INS LLC | 2670 UNION AVE EXT STE 200 MEMPHIS, TN 38112 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $524 | $59 | $583 | 16.69% |
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 | 121 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE INC | 155 | $760K |
| Dental | DELTA DENTAL OF TENNESSEE | 155 | $54K |
| Vision | VISION SERVICE PLAN | 87 | $15K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 115 | $11K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 42 | $32K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 116 | $28K |
| Other(4 contracts, 2 carriers) | AFLAC | 115 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 155 | — |
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.