| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LAURA SHERWIN3 | 1000 CORPORATE DRIVE SUITE 400 FORT LAUDERDALE, FL 33334 | BLUE CROSS AND BLUE SHIELD OF TENNESSEE | $14K | — | $14K | 0.30% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY, LLC | 9850 NW 41ST STREET SUITE 100 MIAMI, FL 33178 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $62K | $0 | $62K | 9.52% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY, LLC | PO BOX 12748 ROANOKE, VA 24028 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $21K | $17K | $37K | 5.75% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 Filed as: BOON CHAPMAN BNFT ADMNSTRS, INC. | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $32K | $32K | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $28K | $28K | 4.37% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY, LLC | 161 WASHINGTON STREET SUITE 1200 CONSHOHOCKEN, PA 19428 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $38K | $5K | $43K | 12.05% |
| CHRISTINA BIEBER3 | 12827 WOODMILL DRIVE PALM BEACH GARDENS, FL 33418 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $19K | $330 | $19K | 5.39% |
| CREATIVE BENEFIT CONSULTANTS INC3 Filed as: CREATIVE BENEFIT CONSULTANTS, INC. | 18214 102ND WAY SOUTH SUITE 100 BOCA RATON, FL 33498 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $4K | $9K | 2.61% |
| DARIN POTTS3 Filed as: DARIN POTTS AND OTHERS | 100 DETERING STREET APARTMENT 2128 HOUSTON, TX 77007 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $1K | $8K | 2.18% |
| LYNN MARIE BARRY3 | 301 WEST PARK AVENUE LANGHOME, PA 19047 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $1K | $5K | 1.39% |
| YESENIA HENOHE OSORIO3 | 13611 ISHNALA CIRCLE WELLINGTON, FL 33414 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $934 | $4K | 1.14% |
| ROBERT HYLTON3 | 6287 GARRETT STREET JUPITER, FL 33458 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $329 | $3K | 0.78% |
| DEBRA KAY GAPP3 | 20302 STONE FALLS COURT CYPRESS, TX 77433 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $620 | $3K | 0.73% |
| LYNN MARIE BARRY3 Filed as: LYNN MARIE BARRY AND OTHER AGENTS | 301 WEST PARK AVENUE LANGHOME, PA 19047 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $317 | $3K | 0.73% |
| HOWARD HOROWITZ3 Filed as: HOWARD J. HOROWITZ AND OTHERS | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $174 | $2K | 0.55% |
| LBMC EMPLOYMENT PARTNERS3 Filed as: LBMC EMPLOYMENT PARTNERS AND OTHERS | 201 FRANKLIN ROAD BRENTWOOD, TN 37027 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $90 | $2K | 0.44% |
| RICHARD SCHWAGER3 | 2210 VILLAGE DALE AVENUE HOUSTON, TX 77059 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 0.41% |
| HENRY LEE MCCARTY3 | 1414 RICHEY STREET SUITE 6 PASADENA, TX 77502 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $34 | $1K | 0.40% |
| YESENIA HENOHE OSORIO3 Filed as: YESENIA HENOHE OSORIO AND OTHERS | 13611 ISHNALA CIRCLE WELLINGTON, FL 33414 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $249 | $1K | 0.39% |
| VERA ANN PAREDES3 Filed as: VERA ANN PAREDES AND OTHER AGENTS | 1414 RICHEY STREET SUITE 6 PASADENA, TX 77502 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $127 | $1K | 0.38% |
| HOWARD HOROWITZ3 Filed as: HOWARD J. HOROWITZ | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $120 | $1K | 0.37% |
| VERA ANN PAREDES3 | 1414 RICHEY STREET SUITE 6 PASADENA, TX 77502 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $51 | $1K | 0.32% |
| LBMC EMPLOYMENT PARTNERS3 Filed as: LBMC EMPLOYMENT PARTNERS, LLC | 201 FRANKLIN ROAD BRENTWOOD, TN 37027 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $809 | $0 | $809 | 0.23% |
| SONYA ANN LENIHAN3 | 19026 AZALEA GLEN COURT HOUSTON, TX 77084 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $677 | $15 | $692 | 0.19% |
| DARIN POTTS3 | 100 DETERING STREET APARTMENT 2128 HOUSTON, TX 77007 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $292 | $306 | $598 | 0.17% |
| LINDA CURLEY3 | 315 BANJO STREET NASHVILLE, TN 37207 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $476 | $0 | $476 | 0.13% |
| RICHARD SCHWAGER3 Filed as: RICHARD SCHWAGER AND OTHER AGNETS | 2210 VILLAGE DALE AVENUE HOUSTON, TX 77059 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $362 | $29 | $391 | 0.11% |
| TITON ASSOCIATES, INC.3 | 9840 WEST NOTCH PATH CRYSTAL RIVER, FL 34428 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $390 | $0 | $390 | 0.11% |
| MARY-JOYCE LICATA3 Filed as: MARY-JOYCE LICATA AND OTHER AGENTS | 24 CORIANDER LANE NORTH KINGSTOWN, RI 02852 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $231 | $45 | $276 | 0.08% |
| DENNIS E TRAYWICK3 Filed as: DENNIS E. TRAYWICK AND OTHER AGENTS | 1325 BLACK ROAD PROSPECT, TN 38477 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $62 | $7 | $69 | 0.02% |
| BENEFIT ENROLLMENT SERVICES INC3 Filed as: BENEFIT ENROLLMENT SERVICES, INC. | 210 CARDEN AVENUE NASHVILLE, TN 37205 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $56 | $0 | $56 | 0.02% |
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 | 1,270 | 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. |
| Total participants (= "Plan participants" tile) | 1,270 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF TENNESSEE | 614 | $4.8M |
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,270 | $647K |
| Vision | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,270 | $647K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,270 | $1.0M |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,270 | $647K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,270 | $647K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF TENNESSEE | 614 | $4.8M |
| Other(3 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF TENNESSEE | 1,270 | $5.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,270 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.