No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF TN EIN 62-0427913 NONE | Claims processing; Participant communication; Other services; Contract Administrator; Named fiduciary Service code 12 | 1 CAMERON HILL CIRCLE CHATTANOOGA, TN 37402 | $1.2M |
| SOUTHERN BENEFIT ADMINISTRATORS EIN 62-1116095 NONE | Actuarial; Plan Administrator; Consulting (general) Service code 11 | P.O. BOX 1449 GOODLETTSVILLE, TN 37070 | $622K |
| UBS FINANCIAL SERVICES EIN 13-2638166 NONE | Securities brokerage commissions and fees; Account maintenance fees; Distribution (12b-1) fees; Investment management; Investment advisory (plan); Custodial (securities) Service code 19 | 1285 AVE. OF AMERICAS NEW YORK, NY 10019 | $34K |
| BRANSTETTER, STRANCH & JENNINGS EIN 62-0513048 NONE | Legal Service code 29 | 227 SECOND AVE. N. 4TH FL NASHVILLE, TN 37201 | $28K |
| DANIELS, IRWIN & AYLOR EIN 62-1802605 NONE | Accounting (including auditing) Service code 10 | 223 MADISON ST. SUITE 112 MADISON, TN 37115 | $14K |
| SUNTRUST BANK EIN 62-0859925 NONE | Account maintenance fees Service code 65 | P.O. BOX 305183 NASHVILLE, TN 37230 | $12K |
| TED SOILEAU, CPA, LLC NONE | Accounting (including auditing) Service code 10 | 2133 SILVERSIDE DR C 225-766-7910 BATON ROUGE, LA 70808 | $9K |
| MONEY MARKET AND MUTUAL FUNDS NONE | Investment management; Custodial (securities) Service code 19 | — | $0 |
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 | 2,823 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,827 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 2,827 | $153K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,827 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.