| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCOTT REVEY3 | 2817 WEST END STE 126-281 NASHVILLE, TN 37203 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $50K | $0 | $50K | 8.81% |
| STEVE BOTTS3 | 100 BLUEGRASS COMMONS BLVD STE 300 HENDERSONVILLE, TN 37075 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $2K | $0 | $2K | 0.29% |
| BERNARD HEALTH LLC3 | 2817 WEST END AVE #126-281 NASHVILLE, TN 37203 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | $0 | $7K | 10.23% |
| PEACHTREE PLANNING OF GEORGIA3 Filed as: PEACHTREE PLANNING OF TENNESSEE | 9019 OVERLOOK BD #D1 BRENTWOOD, TN 32027 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $18 | $0 | $18 | 0.02% |
| PEACHTREE PLANNING OF GEORGIA3 Filed as: PEACHTREE PLANNING OF TENNESSEE | 9019 OVERLOOK BD #D1 BRENTWOOD, TN 32027 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4 | $0 | $4 | 0.01% |
| BH GROUP TN LLC3 Filed as: BH GROUP TN | 2817 WEST END AVE, STE 126-218 NASHVILLE, TN 37203 | COMPANION LIFE INSURANCE | $4K | $0 | $4K | 8.68% |
| BERNARD HEALTH LLC3 | 2817 WEST END AVE #126-281 NASHVILLE, TN 37203 | SUNLIFE INSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 7.50% |
| BERNARD HEALTH LLC3 | 2817 WEST END AVE #126-281 NASHVILLE, TN 37203 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | $0 | $4K | 46.07% |
| BH PREFERRED LLC3 | 2817 WEST END AVE #126-281 NASHVILLE, TN 37203 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $290 | $0 | $290 | 3.48% |
| BRIAN TOLBERT3 | 2817 WEST END AVE #126-281 NASHVILLE, TN 37203 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $161 | $0 | $161 | 1.93% |
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 | 187 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 187 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 187 | $613K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 135 | $73K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 135 | $73K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 135 | $73K |
| Short-term disability | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 23 | $8K |
| Long-term disability | SUNLIFE INSURANCE COMPANY OF CANADA | 170 | $23K |
| Other | COMPANION LIFE INSURANCE | 23 | $46K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 187 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.