| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICE INC. | 353 N CLARK STREET SUITE 1100 CHICAGO, IL 60654 | HEALTH CARE SERVICE CORPORATION | $66K | $2K | $68K | 4.01% |
| ETHAN GREER4 | 325 CHEROKEE BLVD SUITE 102 CHATTANOOGA, TN 37405 | AFLAC | $971 | $0 | $971 | 3.28% |
| THW INSURANCE SERVICES LLC4 | 321 W MAIN STREET LEBANON, TN 37087 | AFLAC | $581 | $0 | $581 | 1.96% |
| KELSEY DAVID EVERT4 | 2055 N MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37122 | AFLAC | $328 | $0 | $328 | 1.11% |
| TIMOTHY CHAPPELL4 | 522 ROCK SPRINGS ROAD WATERTOWN, TN 37184 | AFLAC | $250 | $0 | $250 | 0.84% |
| KEN S KRAVITZ4 | 8841 S 84TH CT HICKORY HILLS, IL 60457 | AFLAC | $102 | $0 | $102 | 0.34% |
| TODD DEVOSS4 Filed as: TODD C DEVOSS | 321 N CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $88 | $0 | $88 | 0.30% |
| KIRK HASKINS4 | 1043 N NARCISSUS AVENUE BROKEN ARROW, OK 74012 | AFLAC | $73 | $0 | $73 | 0.25% |
| MESIROW INSURANCE SERVICES INC4 Filed as: MESIROW INSURANCE SERVICES INC. | 321 N CLARK STREET CHICAGO, IL 60654 | AFLAC | $54 | $0 | $54 | 0.18% |
| JAMES C FARMER JR4 | 641 OLD HICKORY BLVD UNIT 60 BRENTWOOD, TN 37027 | AFLAC | $46 | $0 | $46 | 0.16% |
| RICK R THORNE4 | 321 W MAIN STREET LEBANON, TN 37087 | AFLAC | $41 | $0 | $41 | 0.14% |
| GLEN E TWAITS4 | 2006 DOUBLE EAGLE DRIVE MISSION, TX 78572 | AFLAC | $35 | $0 | $35 | 0.12% |
| ELIZABETH M GASPAROVIC4 | 18 N SMITH STREET PALATINE, IL 60067 | AFLAC | $26 | $0 | $26 | 0.09% |
| JAIME HUTTON4 Filed as: JAIME M HUTTON | 1893 HIGHWAY 25 GALLATIN, TN 37066 | AFLAC | $23 | $0 | $23 | 0.08% |
| THOMAS M WILLIAMSON4 | 2055 N MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37122 | AFLAC | $19 | $0 | $19 | 0.06% |
| LESLIE H SILTMAN4 | 207 MOORE DRIVE BATESVILLE, MS 38606 | AFLAC | $16 | $0 | $16 | 0.05% |
| THOMAS A JAHR4 | 17328 LINDA VISTA CIRCLE LUTZ, FL 33548 | AFLAC | $16 | $0 | $16 | 0.05% |
| DAVID M CRUMLEY4 | 5111 MARYLAND WAY SUITE 210 BRENTWOOD, TN 37027 | AFLAC | $14 | $0 | $14 | 0.05% |
| LA FREY AND ASSOCIATES INC4 | 14466 S ELIZABETH LANE HOMER GLEN, IL 60491 | AFLAC | $14 | $0 | $14 | 0.05% |
| CHRISTOPHER CRAIG WHEELER4 | 325 CHEROKEE BLVD SUITE 102 CHATTANOOGA, TN 37405 | AFLAC | $13 | $0 | $13 | 0.04% |
| GLEN T SCHWEIKERT4 | 2211 HIGHLAND SPRINGS PLACE LOUISVILLE, KY 40245 | AFLAC | $11 | $0 | $11 | 0.04% |
| RONALD A DASHKOVITZ4 | 20 MILLPOND TRAIL SAGINAW, MI 48603 | AFLAC | $8 | $0 | $8 | 0.03% |
| SHERRI L BASHORE4 | 6949 CHARLOTTE PIKE SUITE 105 NASHVILLE, TN 37209 | AFLAC | $8 | $0 | $8 | 0.03% |
| H J SAMAAN INC4 | 477 E BUTTERFIELD ROAD SUITE 206 LOMBARD, IL 60148 | AFLAC | $7 | $0 | $7 | 0.02% |
| NOLAN DOYLE MCCUE4 | 242 HERITAGE PARK DRIVE SUITE 108 MURFREESBORO, TN 37129 | AFLAC | $6 | $0 | $6 | 0.02% |
| ABBIE W COFFMAN4 Filed as: ABBIE COFFMAN | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $5 | $0 | $5 | 0.02% |
| TOMMY L JOHNSON JR4 | 711 S OLIVE STREET APT 314 LOS ANGELES, CA 90014 | AFLAC | $5 | $0 | $5 | 0.02% |
| DAVID M CRUMLEY4 | 132 SEDONA WOODS TRAIL NOLENSVILLE, TN 37135 | AFLAC | $5 | $0 | $5 | 0.02% |
| VBTN, INC4 Filed as: VBTN INC | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $4 | $0 | $4 | 0.01% |
| GREGORY J SHARP4 | 702 E 5TH STREET COAL VALLEY, IL 61240 | AFLAC | $4 | $0 | $4 | 0.01% |
| RONALD H RICHEY4 | 4499 MURFREESBORO ROAD FRANKLIN, TN 37067 | AFLAC | $3 | $0 | $3 | 0.01% |
| JAY S OLEARY4 | 1802 EAVES CT NOLENSVILLE, TN 37135 | AFLAC | $3 | $0 | $3 | 0.01% |
| GTS INC4 | 1284 ROSEGATE CT AURORA, IL 60504 | AFLAC | $2 | $0 | $2 | 0.01% |
| BARBIER GROUP INC4 | 23 CROYDON LANE OAK BROOK, IL 60523 | AFLAC | $2 | $0 | $2 | 0.01% |
| KANDI H HECKLER4 | 5453 HASELL DRIVE ROCKVALE, TN 37153 | AFLAC | $2 | $0 | $2 | 0.01% |
| TIMOTHY B ASBY4 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $2 | $0 | $2 | 0.01% |
| GARY W LOVELL4 Filed as: GARY LOVELL | PO BOX 90866 NASHVILLE, TN 37209 | AFLAC | $1 | $0 | $1 | 0.00% |
| ALAN W MARTIN4 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | AFLAC | $1 | $0 | $1 | 0.00% |
| JOANNA G MATHERLY4 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $1 | $0 | $1 | 0.00% |
| KEMP G PILE4 | 1525 TIMBERWOOD CT SYCAMORE, IL 60178 | AFLAC | $1 | $0 | $1 | 0.00% |
| DANIEL J TAYLOR4 | 2170 N LAKE DRIVE APT 6032 COLUMBIA, SC 29212 | AFLAC | $0 | $0 | $0 | 0.00% |
| MARC D BARNES4 | 148 FOSSIL LAKE CT WILMINGTON, IL 60481 | AFLAC | $0 | $0 | $0 | 0.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICE INC. | 353 N CLARK STREET CHICAGO, IL 60654 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $268 | $0 | $268 | 1.81% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICE INC | 353 N CLARK STREET SUITE 1100 CHICAGO, IL 60654 | ULITED HEALTHCARE INSURANCE COMPANY | $1K | $0 | $1K | 9.20% |
| BROWNIE D HALL4 | 321 W MAIN STREET LEBANON, TN 37087 | AFLAC | $261 | $0 | $261 | 2.79% |
| JAMES C FARMER JR4 | 641 OLD HICKORY BLVD UNIT 60 BRENTWOOD, TN 37027 | AFLAC | $171 | $0 | $171 | 1.83% |
| LESLIE H SILTMAN4 | 207 MOORE DRIVE BATESVILLE, MS 38606 | AFLAC | $127 | $0 | $127 | 1.36% |
| RICK R THORNE4 | 321 W MAIN STREET LEBANON, TN 37087 | AFLAC | $127 | $0 | $127 | 1.36% |
| GARY W LOVELL4 | PO BOX 90866 NASHVILLE, TN 37209 | AFLAC | $108 | $0 | $108 | 1.16% |
| RONALD H RICHEY4 | 4499 MURFREESBORO ROAD FRANKLIN, TN 37067 | AFLAC | $32 | $0 | $32 | 0.34% |
| SHERRI L BASHORE4 | 6949 CHARLOTTE PIKE SUITE 105 NASHVILLE, TN 37209 | AFLAC | $16 | $0 | $16 | 0.17% |
| MESIROW INSURANCE SERVICES INC4 Filed as: MESIROW INSURANCE SERVICE INC. | 321 N CLARK STREET CHICAGO, IL 60654 | AFLAC | $14 | $0 | $14 | 0.15% |
| RONALD A DASHKOVITZ4 | 20 MILLPOND TRAIL SAGINAW, MI 48603 | AFLAC | $14 | $0 | $14 | 0.15% |
| ABBIE W COFFMAN4 Filed as: ABBIE W COFMAN | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $14 | $0 | $14 | 0.15% |
| KEN KRAVITZ4 | 8841 S 84TH COURT HICKORY HILLS, IL 60457 | AFLAC | $12 | $0 | $12 | 0.13% |
| NOLAN DOYLE MCCUE4 | 242 HERITAGE PARK DRIVE SUITE 108 MURFREESBORO, TN 37129 | AFLAC | $11 | $0 | $11 | 0.12% |
| MARCIN ZUREK4 | 210 DES PLAINES AVENUE UNIT D FOREST PARK, IL 60130 | AFLAC | $9 | $0 | $9 | 0.10% |
| BRENT L GOODE4 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $6 | $0 | $6 | 0.06% |
| JOHN T JEWELL4 | 2428 AULDRIDGE DRIVE CHRISTIANA, TN 37037 | AFLAC | $5 | $0 | $5 | 0.05% |
| JEFFREY LYNN LAMBERT4 | 7 CENTER STREET HINSDALE, IL 60521 | AFLAC | $5 | $0 | $5 | 0.05% |
| DAVID B RAY4 | 5122 STONEWOOD DRIVE SMYRNA, TN 37167 | AFLAC | $4 | $0 | $4 | 0.04% |
| KANDI H HECKLER4 Filed as: KANDI HECKLER | 5453 HASELL DRIVE ROCKVALE, TN 37153 | AFLAC | $3 | $0 | $3 | 0.03% |
| KELSEY DAVID EVERT4 | 2055 N MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37122 | AFLAC | $2 | $0 | $2 | 0.02% |
| MESIROW INSURANCE SERVICES INC4 Filed as: MESIROW INSURANCE SERVICES INC. | 321 N CLARK STREET CHICAGO, IL 60654 | AFLAC | $2 | $0 | $2 | 0.02% |
| JOSEPH L LEDOUX4 | 2411 CARTER AVENUE NASHVILLE, TN 37206 | AFLAC | $2 | $0 | $2 | 0.02% |
| ZUREK & ASSOCIATES LLC4 | 210 DES PLAINES AVENUE UNIT D FOREST PARK, IL 60130 | AFLAC | $2 | $0 | $2 | 0.02% |
| VBTN, INC4 Filed as: VBTN INC | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $1 | $0 | $1 | 0.01% |
| JAY S OLEARY4 | 1802 EAVES CT NOLENSVILLE, TN 37135 | AFLAC | $1 | $0 | $1 | 0.01% |
| ALAN W MARTIN4 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | AFLAC | $1 | $0 | $1 | 0.01% |
| JOANNA G MATHERLY4 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $1 | $0 | $1 | 0.01% |
| AUTUMN BETHEA4 | 1053 MUNA CT SPRING HILL, TN 37174 | AFLAC | $0 | $0 | $0 | 0.00% |
| TIMOTHY B ASBY4 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IL 46077 | AFLAC | $0 | $0 | $0 | 0.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICE INC | 353 N CLARK STREET SUITE 1100 CHICAGO, IL 60654 | DELTA DENTAL OF ILLINOIS | $2K | $0 | $2K | 28.89% |
| KEN S KRAVITZ4 | PO BOX 1284 BRIDGEVIEW, IL 60455 | CONTINENTAL AMERICAN INSURANCE COMPANY | $99 | $0 | $99 | 1.66% |
| MARCIN ZUREK4 | 1010 LAKE STREET SUITE 430 OAK PARK, IL 60301 | CONTINENTAL AMERICAN INSURANCE COMPANY | $71 | $0 | $71 | 1.19% |
| MESIROW INSURANCE SERVICES INC4 Filed as: MESIROW INSURANCE SERVICE INC | 353 N CLARK STREET CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $61 | $0 | $61 | 1.02% |
| NOLAN D MCCUE4 | 242 HERITAGE PARK DRIVE SUITE 108 MURFREESBORO, TN 37129 | CONTINENTAL AMERICAN INSURANCE COMPANY | $50 | $0 | $50 | 0.84% |
| KELSEY DAVID EVERT4 Filed as: KELSEY D EVERT | 2055 N MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37122 | CONTINENTAL AMERICAN INSURANCE COMPANY | $39 | $0 | $39 | 0.66% |
| JAIME HUTTON4 | 1020 MONTROSE DR GALLATIN, TN 37066 | CONTINENTAL AMERICAN INSURANCE COMPANY | $33 | $0 | $33 | 0.55% |
| VBTN, INC4 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $22 | $0 | $22 | 0.37% |
| TIMOTHY B ASBY4 | 9247 N MERIDIAN STREET SUITE 205 INDIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | $0 | $9 | 0.15% |
| TREVOR FENNELL4 Filed as: TREVOR R FENNELL | 133 WEST 22ND STREET NEW YORK, NY 10011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8 | $0 | $8 | 0.13% |
| SHERRI L BASHORE4 | PO BOX 40327 NASHVILLE, TN 37204 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | $0 | $3 | 0.05% |
| JOSEPH A NASCA4 | 28081 W MAPLE AVENUE BARRINGTON, IL 60010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | $0 | $2 | 0.03% |
| TODD DEVOSS4 | 321 N CLARK STREET SUITE 625 CHICAGO, IL 60654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | $0 | $2 | 0.03% |
| JEFFREY LYNN LAMBERT4 Filed as: JEFFREY L LAMBERT | 7 CENTER STREET HINSDALE, IL 60521 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | $0 | $2 | 0.03% |
| THERESA NETTO PHILLIPS4 Filed as: THERESA V REDDING | 71 COUNTRY CLUB DRIVE BLOOMINGDALE, IL 60108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | $0 | $1 | 0.02% |
| COURTNEY RYAN YURCZYK4 Filed as: COURTNEY S YURCZYK | 9616 WYOMING TERRACE SOUTH BLOOMINGTON, MN 55438 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | $0 | $1 | 0.02% |
| MICHAEL ROBERT YURCZYK4 Filed as: MICHAEL R YURCZYK | 5810 W 78TH STREET SUITE 210 BLOOMINGTON, MN 55439 | CONTINENTAL AMERICAN INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| MARK D BARBIER4 | 802 DEER TRAIL LANE OAK BROOK, IL 60523 | CONTINENTAL AMERICAN INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICE INC. | 353 N CLARK STREET CHICAGO, IL 60654 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | $0 | $9K | 200.00% |
| KEN S KRAVITZ4 | 8841 S 84TH COURT HICKORY HILLS, IL 60457 | AFLAC | $42 | $0 | $42 | 4.15% |
| HJ SAMANN INC.4 Filed as: H J SAMANN INC | 477 E BUTTERFIELD ROAD SUITE 206 LOMBARD, IL 60148 | AFLAC | $12 | $0 | $12 | 1.19% |
| LA FREY AND ASSOCIATES INC4 | 14466 S ELIZABETH LANE HOMER GLEN, IL 60491 | AFLAC | $11 | $0 | $11 | 1.09% |
| ELIZABETH M GASPAROVIC4 | 18 N SMITH STREET PALATINE, IL 60067 | AFLAC | $4 | $0 | $4 | 0.40% |
| TOMMY L JOHNSON JR4 | 711 S OLIVE STREET APT 314 LOS ANGELES, CA 90014 | AFLAC | $3 | $0 | $3 | 0.30% |
| KEMP G PILE4 | 1525 TIMBERWOOD CT SYCAMORE, IL 60178 | AFLAC | $1 | $0 | $1 | 0.10% |
| DANIEL J TAYLOR4 | 2170 N LAKE DRIVE APT 6032 COLUMBIA, SC 29212 | AFLAC | $1 | $0 | $1 | 0.10% |
| MARC D BARNES4 | 148 FOSSIL LAKE CT WILMINGTON, IL 60481 | AFLAC | $1 | $0 | $1 | 0.10% |
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 | 97 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 98 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 22 | $1.7M |
| Dental(2 contracts, 2 carriers) | ULITED HEALTHCARE INSURANCE COMPANY | 94 | $22K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 106 | $4K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 98 | $15K |
| Other(6 contracts, 4 carriers) | AFLAC | 106 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 106 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.