| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LAMONT D JACKSON3 Filed as: LAMONT JACKSON | 307 SOUTHGATE COURT, SUITE 110 BRENTWOOD, TN 37027 | CONTENENTAL AMERICAN INSURANCE COMPANY | $22K | $0 | $22K | 46.69% |
| JORDAN S SMITH3 Filed as: JORDAN SMITH | 6669 ARNO ALLISONA ROAD COLLEGE GROVE, TN 37046 | CONTENENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 7.03% |
| CHERYL TAYLOR3 | 110 ENCHANTED TRAIL WHITE BLUFF, TN 37187 | CONTENENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 4.17% |
| CHRISTOPHER CLUNAN3 | 2779 JUTES DRIVE THOMPSONS STATION, TN 37179 | CONTENENTAL AMERICAN INSURANCE COMPANY | $442 | $0 | $442 | 0.94% |
| MELISSA MARIE HURLEY3 Filed as: MELISSA HURLEY | 6B FERN AVENUE NASHVILLE, TN 37207 | CONTENENTAL AMERICAN INSURANCE COMPANY | $224 | $0 | $224 | 0.47% |
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. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other | CONTENENTAL AMERICAN INSURANCE COMPANY | 477 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 477 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.