| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WHITE & ASSOCIATES3 Filed as: WHITE AND ASSOCIATES INSURANCE AGEN | 220 N MAIN ST DYERSBURG, TN 38024 | AETNA LIFE INSURANCE | $28K | — | $28K | 4.79% |
| SHELIA GURIEN3 Filed as: SHELIA S GURIEN | 220 NORTH MAIN DYERSBURG, TN 38024 | BLUE CROSS BLUE SHIELD OF TN INC. | $6K | — | $6K | 16.72% |
| ANNA POND3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $4K | — | $4K | 15.57% |
| TERAH MIMS3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $4K | — | $4K | 14.75% |
| CHRISTINA WINSETT3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $3K | — | $3K | 8.94% |
| DOROTHETTE WHITE3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $2K | — | $2K | 7.28% |
| JASON CHRISTOPHER DARWIN3 Filed as: JASON MAGEE | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $1K | — | $1K | 3.93% |
| ASIA LYNN3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $1K | — | $1K | 3.84% |
| TOMIEA HUDSON3 | 3700 S. STONEBRIDGE DR. MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $719 | — | $719 | 2.56% |
| MARK GIAMPORTONE3 | 3700 S. STONEBRIDGE DR. MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $352 | — | $352 | 1.25% |
| ANN HARRIS3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $185 | — | $185 | 0.66% |
| TERNEISHA MARSHALL3 | 3700 S. STONEBRIDGE DR. MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $51 | — | $51 | 0.18% |
| EMILY KEITH3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $49 | — | $49 | 0.17% |
| MICHAEL B MURPHY3 Filed as: MICHAEL SHELLENBERGER | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $35 | — | $35 | 0.12% |
| MARKIA POTTS3 | 3700 S. STONEBRIDGE DR. MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $33 | — | $33 | 0.12% |
| NUCRECIA MILLS3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $28 | — | $28 | 0.10% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: SHARONDA BROWN | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $26 | — | $26 | 0.09% |
| DOROTHY CONWAY3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $20 | — | $20 | 0.07% |
| KATRIONA BLAND3 | 3700 S. STONEBRIDGE DR. MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $18 | — | $18 | 0.06% |
| ELLA MILLS3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $17 | — | $17 | 0.06% |
| LATISHA GUISE3 | 3700 S. STONEBRIDGE DR. MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $15 | — | $15 | 0.05% |
| BENJAMIN QUIGLEY3 | 3700 S. STONEBRIDGE DR. MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $8 | — | $8 | 0.03% |
| LAUREN MIMS3 | 3700 S STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | $1 | — | $1 | 0.00% |
| MONDRECIOUS SMALLIE3 | 3700 S. STONEBRIDGE DR MCKINNEY, TX 75070 | GLOBE LIFE LIBERTY NATIONAL DIVISION | -$17 | — | -$17 | -0.06% |
| LAYNE FINANCIAL INC3 | 3009 WILMINGTON RD SUIT 100 NEW CASTLE, PA 16105 | GUARDIAN | $3K | $564 | $4K | 16.61% |
| WHITE & ASSOCIATES3 Filed as: WHITE AND ASSOCIATES INSURANCE AGEN | 220 N MAIN ST DYERSBURG, TN 38024 | GUARDIAN | $274 | — | $274 | 1.28% |
| BNYU LLC3 | 315 GREEN RIDGE RD H1 NEW CASTLE, PA 16105 | GUARDIAN | $193 | — | $193 | 0.90% |
| ASHFORD MID SOUTH LLC3 Filed as: ASHFORD MIDSOUTH LLC | 6060 PRIMACY PKWY, STE 175 MEMPHIS, TN 38119 | GUARDIAN | $1 | — | $1 | 0.00% |
| JOHN W WILLIAMS3 Filed as: JOHN W. WILLIAMS | 512 CRAIG SCHOOL ROAD RIPLEY, TN 38063 | AFLAC | $7K | $502 | $8K | 38.63% |
| WILLIAM T GANT3 Filed as: WILLIAM GANT | 117 HILLSONG LANE BRIGHTON, TN 38011 | AFLAC | $855 | $41 | $896 | 4.58% |
| JOHN LEMLEY3 Filed as: JOHN HENRY LEMLEY | 2535 MT CARMEL RD COVINGTON, TN 38019 | AFLAC | $761 | $41 | $802 | 4.10% |
| LAURA WILLIAMS3 | 512 CRAIG SCHOOL RD RIPLEY, TN 38063 | AFLAC | $154 | — | $154 | 0.79% |
| WHITE & ASSOCIATES3 Filed as: WHITE AND ASSOCIATES INSURANCE AGEN | 220 N MAIN ST DYERSBURG, TN 38024 | USABLE LIFE | $1K | — | $1K | 15.01% |
| GROUP INSURANCE SERVICES INC4 Filed as: GROUP INSURANCE SERVICES, INC | 1 CAMERON HILL CIRCLE 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $791 | $180 | $971 | 10.79% |
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 | 0 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE | 113 | $591K |
| Dental | BLUE CROSS BLUE SHIELD OF TN INC. | 108 | $35K |
| Vision | BLUE CROSS BLUE SHIELD OF TN INC. | 108 | $35K |
| Life insurance(2 contracts, 2 carriers) | GLOBE LIFE LIBERTY NATIONAL DIVISION | 180 | $37K |
| Short-term disability(2 contracts, 2 carriers) | GLOBE LIFE LIBERTY NATIONAL DIVISION | 63 | $48K |
| Long-term disability | GUARDIAN | 15 | $21K |
| Other(3 contracts, 3 carriers) | GLOBE LIFE LIBERTY NATIONAL DIVISION | 63 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 180 | — |
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.