| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JONATHAN TAYLOR3 | 3000 MERIDIAN BOULEVARD FRANKLIN, TN 37067 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $36K | $0 | $36K | 2.53% |
| RICHARD W VAN LEUVAN3 Filed as: RICHARD ELLIOTT | 3280 PEACHTREE ROAD NE, SUITE 250 ATLANTA, GA 30305 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $7K | $0 | $7K | 0.50% |
| GTL & ASSOCIATES3 Filed as: GTL AND ASSOCIATES | 6729 SUGAR HILL DRIVE NASHVILLE, TN 37211 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17K | $0 | $17K | 10.31% |
| JAIME HUTTON3 | 1195 OLD SHILOH ROAD GOODLETTVILLE, NE 37072 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11K | $0 | $11K | 7.17% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11K | $0 | $11K | 6.65% |
| MJ INSURANCE3 Filed as: KRISTIN L LATTREL & VARIOUS AGENTS | 541 NORTH MOUNT JULIET ROAD SUITE 2201A MOUNT JULIET, TN 37122 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | $0 | $6K | 3.66% |
| LARA K GRANDE3 | 204 EAST ARLINGTON BOULEVARD UNIT C GREENVILLE, NC 27858 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 2.34% |
| THOMAS WILLIAMSON3 | 88 ABBEY ROAD LEBANON, TN 40206 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 1.04% |
| LOCKTON COMPANIES, LLC3 | 3280 PEACHTREE ROAD NE SUITE 800 ATLANTA, GA 30305 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 0.94% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $13K | $0 | $13K | 8.56% |
| LOCKTON COMPANIES, LLC3 | PO BOX 741738 ATLANTA, GA 30374 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $213 | $3K | 2.10% |
| ASSUREDPARTNERS3 | 1945 SCOTTSVILLE ROAD BOWLING GREEN, KY 42104 | DELTA DENTAL OF TENNESSEE | $8K | $0 | $8K | 5.77% |
| LOCKTON COMPANIES, LLC3 | 3280 PEACHTREE ROAD NE, SUITE 250 ATLANTA, GA 30305 | DELTA DENTAL OF TENNESSEE | $2K | $0 | $2K | 1.73% |
| ASSUREDPARTNERS3 | 840 CRESCENT CENTRE DRIVE SUITE 300 FRANKLIN, TN 37067 | VISION SERVICE PLAN | $1K | $0 | $1K | 3.81% |
| LOCKTON COMPANIES, LLC3 | PO BOX 741738 ATLANTA, GA 30374 | VISION SERVICE PLAN | $218 | $0 | $218 | 0.66% |
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 | 523 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 27 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 552 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 398 | $1.5M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF TENNESSEE | 504 | $187K |
| Vision | VISION SERVICE PLAN | 228 | $33K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 534 | $157K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 534 | $157K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 534 | $157K |
| Prescription drug | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 398 | $1.4M |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 589 | $317K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 589 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.