| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JULIE L TEMPLETON3 | 709 HELMSDALE PLACE SOUTH BRENTWOOD, TN 37027 | AFLAC | $5K | $305 | $5K | 9.97% |
| CHAD M DEVINE3 | 6204 TUCKALEECHEE LN ANTIOCH, TN 37013 | AFLAC | $1K | $147 | $1K | 2.41% |
| BETTY J LINDSEY3 | 1216 GENERAL GEORGE PATTON RD NASHVILLE, TN 37221 | AFLAC | $1K | — | $1K | 2.07% |
| JOHN R OVERACRE3 | 4731 TROUSDALE DR STE 10 NASHVILLE, TN 37220 | AFLAC | $663 | $75 | $738 | 1.36% |
| DAVID M CRUMLEY3 Filed as: DAVID E WATSON | P O BOX 3094 BRENTWOOD, TN 37024 | AFLAC | $395 | — | $395 | 0.73% |
| KANDI M MCINTYRE3 | 2000 MALLORY LANE SUITE 130-378 FRANKLIN, TN 37067 | AFLAC | $327 | — | $327 | 0.60% |
| WANDA O HOLT3 | 4904 GREENBRIAR CIRCLE OLD HICKORY, TN 37138 | AFLAC | $254 | — | $254 | 0.47% |
| VBTN, INC3 Filed as: VBTN INC | 301 MALLORY STATION RD STE 100 FRANKLIN, TN 37067 | AFLAC | $101 | $75 | $176 | 0.32% |
| CHAD M DEVINE3 | 204 NORTH MAIN ST STE 24 DICKSON, TN 37055 | AFLAC | $148 | — | $148 | 0.27% |
| GEORGE W HURST III3 | 7146 LAKEVIEW CT BRENTWOOD, TN 37027 | AFLAC | $99 | — | $99 | 0.18% |
| BRENT L GOODE3 | 2000 GLEN ECHO RD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $75 | — | $75 | 0.14% |
| ROBERT I BARNES3 | 1424 SCALES ST APT A RALEIGH, NC 27608 | AFLAC | $71 | — | $71 | 0.13% |
| BRETT J HILTON3 | 7263 HERRIMAN HIGHWAY HERRIMAN, UT 84096 | AFLAC | $67 | — | $67 | 0.12% |
| JOHN DALLAS BYERS3 | 2477 TITANS LN BRENTWOOD, TN 37027 | AFLAC | $64 | — | $64 | 0.12% |
| ANNE E SWANSON3 | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $64 | — | $64 | 0.12% |
| ROBERT L GOBLE3 | 6008 NC HWY 16S TAYLORSVILLE, NC 28681 | AFLAC | $50 | — | $50 | 0.09% |
| BRIAN LARSON3 Filed as: BRIAN D LARSON | 883 FORD ST ALCOA, TN 37701 | AFLAC | $38 | — | $38 | 0.07% |
| ROBERT L GOBLE3 | 6087 CITY WALK LN SANDY SPRINGS, GA 30328 | AFLAC | $36 | — | $36 | 0.07% |
| MATT STEINHAUER III3 | 100 YORKSHIRE CT HENDERSONVILLE, TN 37075 | AFLAC | $29 | — | $29 | 0.05% |
| SANDRA A AULT3 | 202 W WALNUT ST HARTFORD, KY 42347 | AFLAC | $29 | — | $29 | 0.05% |
| TIMOTHY T TEAGUE3 | 5104 RUSSELL RD FRANKLIN, TN 37064 | AFLAC | $28 | — | $28 | 0.05% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LANE FRANKLIN, TN 37067 | AFLAC | $25 | — | $25 | 0.05% |
| CATHY MCCLANAHAN3 | 1011 FOX COVE CIRCLE MARYVILLE, TN 37803 | AFLAC | $20 | — | $20 | 0.04% |
| DENNIS W HOFFMAN3 | P O BOX 963 OWENSBORO, KY 42302 | AFLAC | $18 | — | $18 | 0.03% |
| CHARLES B LACY JR3 | 4046 SHARPSBURG MCCULLUM RD STE 205 NEWNAN, GA 30265 | AFLAC | $15 | — | $15 | 0.03% |
| JADEANNE WAGNER3 | 742 WILLOW SPRINGS BLVD FRANKLIN, TN 37064 | AFLAC | $13 | — | $13 | 0.02% |
| EVELYN O UNDERWOOD3 | 7554 BUFFALO RD NASHVILLE, TN 37221 | AFLAC | $12 | — | $12 | 0.02% |
| SUE B KLINE3 | 413 OLD TOWNE DRIVE BRENTWOOD, TN 37027 | AFLAC | $10 | — | $10 | 0.02% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $10 | — | $10 | 0.02% |
| WILLIAM A BRIGGS3 | 1731 GAY THOMPSON RD RAMER, TN 38367 | AFLAC | $10 | — | $10 | 0.02% |
| BONNIE L TAFT3 | 179 HOLSTEIN LANE TOMS BROOK, VA 22660 | AFLAC | $9 | — | $9 | 0.02% |
| J GARY CAVE3 | 6412 HARDING PIKE NASHVILLE, TN 37205 | AFLAC | $8 | — | $8 | 0.01% |
| GINNA WILLENBRINK3 | 9820 FARNHAM DR LOUISVILLE, KY 40223 | AFLAC | $6 | — | $6 | 0.01% |
| CYNTHIA L HUBBARD3 | P O BOX 87 DUNBAR, KY 42219 | AFLAC | $6 | — | $6 | 0.01% |
| JAMES A TAFT JR3 | 179 HOLSTEIN LANE TOMS BROOK, VA 22660 | AFLAC | $5 | — | $5 | 0.01% |
| LESLIE K KIMBROUGH3 | PO BOX 273488 BOCA RATON, FL 33427 | AFLAC | $4 | — | $4 | 0.01% |
| JANET MARIE GAMES3 | 891 MINOMA AVE LOUISVILLE, KY 40217 | AFLAC | $3 | — | $3 | 0.01% |
| RALPH E HOPKINS3 | PO BOX 606 GEORGETOWN, KY 40324 | AFLAC | $2 | — | $2 | 0.00% |
| SANDRA C BALDWIN3 | 146 CHAMBERLAIN DRIVE GEORGETOWN, KY 40324 | AFLAC | $2 | — | $2 | 0.00% |
| FAITH M BURRIS3 | 280 AMI JO DR HOT SPRINGS, AR 71913 | AFLAC | $2 | — | $2 | 0.00% |
| LINDA S IVEY3 | 1633 PAWNEE PLACE OWENSBORO, KY 42301 | AFLAC | $2 | — | $2 | 0.00% |
| RAYMOND L MELVIN3 | 1553 NAVIGATOR CIR DACULA, GA 30019 | AFLAC | $1 | — | $1 | 0.00% |
| VMI ACQUISITION INC3 | 1240 FAIRWAY ST BOWLING GREEN, KY 42102 | HEALTH RESOURCES, INC. | $4K | — | $4K | 10.00% |
| JULIE L TEMPLETON3 | 709 HELMSDALE PLACE SOUTH BRENTWOOD, TN 37027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 11.24% |
| CHAD M DEVINE3 | 6204 TUCKALEECHEE LANE ANTIOCH, TN 37013 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 7.17% |
| JON R OVERACRE3 | 916 S WICKSHIRE WAY BRENTWOOD, TN 37027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $973 | — | $973 | 2.43% |
| VBTN, INC3 Filed as: VBTN INC. | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $673 | — | $673 | 1.68% |
| ALAN W FOSTER3 | 1823 BRONWYN COURT BRENTWOOD, TN 37027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $591 | — | $591 | 1.48% |
| JAY S OLEARY3 Filed as: JAY S O'LEARY | 301 MALLORY STATION RD STE 100 FRANKLIN, TN 37067 | CONTINENTAL AMERICAN INSURANCE COMPANY | $136 | — | $136 | 0.34% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | CONTINENTAL AMERICAN INSURANCE COMPANY | $68 | — | $68 | 0.17% |
| VAN METER INSURANCE AGENCY INC3 | 1240 FAIRWAY ST BOWLING GREEN, KY 42103 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | 14.52% |
| VAN METER INSURANCE AGENCY INC3 | 181 PROSPEROUS PL LEXINGTON, KY 40509 | ANTHEM LIFE INSURANCE COMPANY | — | $157 | $157 | 1.49% |
| VAN METER INSURANCE AGENCY INC3 Filed as: VAN METER INS AGENCY | PO BOX 1779 BOWLING GREEN, KY 42102 | UNITED HEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 15.30% |
| TRANSAMERICA3 | 1400 CENTERVIEW LITTLE ROCK, AR 72211 | UNITED HEALTHCARE INSURANCE COMPANY | — | $515 | $515 | 5.13% |
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 | 128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HEALTH RESOURCES, INC. | 145 | $43K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 113 | $10K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 133 | $11K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 76 | $94K |
| Other(2 contracts, 2 carriers) | AFLAC | 76 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 145 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.