| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TIMOTHY B WHITE3 | PO BOX 568 DICKSON, TN 37056 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $35K | — | $35K | 8.06% |
| BENEFITS INC3 | 110 MATHIS DR STE 106 DICKSON, TN 37055 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | $1K | $10K | 17.12% |
| BENEFITS INC3 | 110 MATHIS DRIVE SUITE 106 DICKSON, TN 37055 | USABLE LIFE | $1K | — | $1K | 24.82% |
| GROUP INSURANCE SERVICES INC3 | 1 CAMERON HILL CIRCLE - 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $357 | — | $357 | 8.14% |
| BENEFITS INC3 | 110 MATHIS DRIVE SUITE 106 DICKSON, TN 37055 | USABLE LIFE | $483 | — | $483 | 20.51% |
| GROUP INSURANCE SERVICES INC3 | 1 CAMERON HILL CIRCLE - 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $157 | — | $157 | 6.67% |
| BENEFITS INC3 | 110 MATHIS DRIVE SUITE 106 DICKSON, TN 37055 | USABLE LIFE | $256 | — | $256 | 17.72% |
| GROUP INSURANCE SERVICES INC3 | 1 CAMERON HILL CIRCLE - 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $46 | — | $46 | 3.18% |
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 | 188 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 188 | $440K |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 188 | $440K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 188 | $440K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 147 | $56K |
| Short-term disability(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 147 | $61K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 147 | $56K |
| Other(2 contracts) | USABLE LIFE | 12 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 188 | — |
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.