| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENNESSEE, INC. | PO BOX 905601 CHARLOTTE, NC 28290 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $6K | $107K | $113K | 5.30% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENNESSEE INC | 26 CENTURY BLVD NASHVILLE, TN 37214 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $16K | — | $16K | 12.06% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENNESSEE, INC. | 8285 TOURNAMENT DR SUITE 130 MEMPHIS, TN 38125 | DELTA DENTAL OF TENNESSEE | $6K | — | $6K | 5.20% |
| TRISTAR BENEFIT SOLUTIONS LLC3 Filed as: TRISTAR BENEFIT SOLUTIONS | 413 OLD TOWNE DR BRENTWOOD, TN 37027 | TRANSAMERICA LIFE INSURANCE COMPANY | $11K | — | $11K | 38.16% |
| SWETT & CRAWFORD OF GEORGIA INC3 | 3350 RIVERWOOD PKWY SE SUITE 1100 ATLANTA, GA 30339 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 9.94% |
| TONYA S LANCASTER3 | 1820 THE EXCHANGE SUITE 750 ATLANTA, GA 30339 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 6.30% |
| MICHAEL A SIMPSON3 Filed as: MICHAEL R SLADE SR. | 3350 RIVERWOOD PKWY SE SUITE 1100 ATLANTA, GA 30339 | TRANSAMERICA LIFE INSURANCE COMPANY | $38 | — | $38 | 0.13% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENNESSEE INC. | 26 CENTURY BLVD. NASHVILLE, TN 37214 | NATIONAL VISION ADMINISTRATORS, LLC | $1K | — | $1K | 8.50% |
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 | 182 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 183 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 182 | $2.1M |
| Dental | DELTA DENTAL OF TENNESSEE | 385 | $112K |
| Vision | NATIONAL VISION ADMINISTRATORS, LLC | 176 | $14K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 182 | $129K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 182 | $129K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 182 | $129K |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 182 | $159K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 385 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.