No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| APRIL THOMAS EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $165K |
| RICKY FARNER EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $91K |
| RANDALL E RICKMAN EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $89K |
| KENNETH R KIENTZEL JR EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $78K |
| TED SOILEAU CPA LLC EIN 45-1621265 FUND AUDITOR | Accounting (including auditing); Consulting (general) Service code 10 | 429 GOVERNMENT ST BATON ROUGE, LA 70802 | $73K |
| ROBERT KELLY EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $72K |
| DILLON M WILSON EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $70K |
| DONNA J WEATHERFORD EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $69K |
| COREY M BUCK EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $68K |
| MICHAEL B MESSAMORE EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $68K |
| CHRISTOPHER R BROWN EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $66K |
| RODNEY D BOND EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $66K |
| ALLEN D PARHAM EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $39K |
| SOUTHERN BENEFIT ADMINISTRATORS EIN 62-1116095 ADMINSTRATOR | Consulting fees Service code 70 | PO BOX 1449 GOODLETTSVILLE, TN 37072 | $36K |
| LIBBY SACCOCCIA EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $33K |
| JERRY W REPKA II EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $30K |
| GREGORY S TACKETT EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $26K |
| BRIAN PALMER EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $18K |
| UBS FINANCIAL SERVICES EIN 13-2638116 INVESTMENT CUSTODIAN | Investment advisory (plan) Service code 27 | 2102 WEST END AVENUE, SUITE 500 NASHVILLE, TN 37203 | $17K |
| BRANSTETTER STRANCH & JENNINGS PLLC EIN 62-0513048 ATTORNEY | Legal Service code 29 | 233 ROSA L PARKS AVE NASHVILLE, TN 37203 | $11K |
| SYDNEY Y HANSEN EIN 58-6112929 EMPLOYEE | Employee (plan) Service code 30 | 401 COMMERCE STREET SUITE 5300 NASHVILLE, TN 64755 | $5K |
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 | 4,821 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,826 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
No prospect flags tripped on this filing.