| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GUY MORRISON3 | 5555 GLENRIDGE CONNECTOR STE 600 ATLANTA, GA 30342 | BLUECROSS BLUESHIELD OF TENNESSEE, INC | $18K | $0 | $18K | 1.90% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BLVD KING OF PRUSSIA, PA 19406 | COMMUNITY INSURANCE COMPANY | $0 | $3K | $3K | 0.54% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA | 870 S PLEASANTBURG DR GREENVILLE, SC 29607 | COMPANION LIFE INSURANCE COMPANY | $15K | $0 | $15K | 12.53% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES | ONE CAMERON PARKWAY CHATTANOOGA, TN 37402 | COMPANION LIFE INSURANCE COMPANY | $10K | $0 | $10K | 7.99% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 5555 GLENRIDGE CONNECTOR ST 600 ATLANTA, GA 30342 | DELTA DENTAL OF TENNESSEE | $5K | $0 | $5K | 5.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA | 870 S PLEASANTBURG DR GREENVILLE, SC 29607 | COMPANION LIFE INSURANCE COMPANY | $12K | $0 | $12K | 11.76% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES | ONE CAMERON PARKWAY CHATTANOOGA, TN 37402 | COMPANION LIFE INSURANCE COMPANY | $8K | $0 | $8K | 7.45% |
| GROUP INSURANCE SERVICES INC3 | ONE CAMERON PARKWAY CHATTANOOGA, TN 37402 | COMPANION LIFE INSURANCE COMPANY | $414 | $0 | $414 | 7.49% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | 870 S PLEASANTBURG DR. GREENSVILLE, SC 29607 | COMPANION LIFE INSURANCE COMPANY | $343 | $0 | $343 | 6.21% |
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 | 230 | 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) | 230 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TENNESSEE, INC | 198 | $1.5M |
| Dental | DELTA DENTAL OF TENNESSEE | 416 | $108K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC | 198 | $925K |
| Life insurance(3 contracts) | COMPANION LIFE INSURANCE COMPANY | 126 | $230K |
| Short-term disability(3 contracts) | COMPANION LIFE INSURANCE COMPANY | 126 | $230K |
| Long-term disability(3 contracts) | COMPANION LIFE INSURANCE COMPANY | 126 | $230K |
| Prescription drug(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TENNESSEE, INC | 198 | $1.5M |
| Other(3 contracts) | COMPANION LIFE INSURANCE COMPANY | 126 | $230K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 416 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.