| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JULIE L TEMPLETON3 | 709 HELMSDALE PLACE SOUTH BRENTWOOD, TN 37027 | AFLAC | $5K | $23 | $5K | 7.69% |
| BETTY J LINDSEY3 | 1216 GENERAL GEORGE PATTON RD NASHVILLE, TN 37221 | AFLAC | $1K | — | $1K | 1.81% |
| CHAD M DEVINE3 | 6204 TUCKALEECHEE LN ANTIOCH, TN 37013 | AFLAC | $827 | $5 | $832 | 1.25% |
| JOHN R OVERACRE3 | 10502 W 133RD TER APT 107 OVERLAND PARK, KS 66213 | AFLAC | $713 | $4 | $717 | 1.08% |
| JORDAN S SMITH3 | 22 PUBLIC SQ STE 14 COLUMBIA, TN 38401 | AFLAC | $435 | — | $435 | 0.65% |
| DAVID M CRUMLEY3 Filed as: DAVID E WATSON | P O BOX 3094 BRENTWOOD, TN 37024 | AFLAC | $390 | — | $390 | 0.59% |
| KANDI M MCINTYRE3 | 2000 MALLORY LANE SUITE 130-378 SUITE 130-378 FRANKLIN, TN 37067 | AFLAC | $353 | — | $353 | 0.53% |
| WANDA O HOLT3 | 4904 GREENBRIAR CIRCLE OLD HICKORY, TN 37138 | AFLAC | $257 | — | $257 | 0.39% |
| GEORGE W HURST III3 | 7146 LAKEVIEW CT BRENTWOOD, TN 37027 | AFLAC | $108 | — | $108 | 0.16% |
| JORDAN S SMITH3 | 4711 TROUSDALE DR STE 120 NASHVILLE, TN 37220 | AFLAC | $97 | — | $97 | 0.15% |
| ROBERT L GOBLE3 | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 29601 | AFLAC | $89 | — | $89 | 0.13% |
| ANNE E SWANSON3 | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $76 | — | $76 | 0.11% |
| ROBERT I BARNES3 | 1424 SCALES ST APT A RALEIGH, NC 27608 | AFLAC | $74 | — | $74 | 0.11% |
| BRETT J HILTON3 | 7263 W 13100S HERRIMAN, UT 84096 | AFLAC | $74 | — | $74 | 0.11% |
| BRENT L GOODE3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $69 | — | $69 | 0.10% |
| JOHN DALLAS BYERS3 | 2477 TITANS LN BRENTWOOD, TN 37027 | AFLAC | $50 | — | $50 | 0.08% |
| BRIAN LARSON3 Filed as: BRIAN D LARSON | 883 FORD ST ALCOA, TN 37701 | AFLAC | $46 | — | $46 | 0.07% |
| MATT STEINHAUER III3 | 100 YORKSHIRE CT HENDERSONVILLE, TN 37075 | AFLAC | $38 | — | $38 | 0.06% |
| SANDRA A AULT3 | 202 W WALNUT ST HARTFORD, KY 42347 | AFLAC | $34 | — | $34 | 0.05% |
| TIMOTHY T TEAGUE3 | 5104 RUSSELL RD FRANKLIN, TN 37064 | AFLAC | $34 | — | $34 | 0.05% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LN FRANKLIN, TN 37067 | AFLAC | $28 | — | $28 | 0.04% |
| CATHY MCCLANAHAN3 | 1011 FOX COVE CIRCLE MARYVILLE, TN 37803 | AFLAC | $24 | — | $24 | 0.04% |
| VBTN, INC3 Filed as: VBTN INC | 200 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $21 | — | $21 | 0.03% |
| DENNIS W HOFFMAN3 | P O BOX 963 OWENSBORO, KY 42302 | AFLAC | $21 | — | $21 | 0.03% |
| CHARLES B LACY JR3 | 4046 SHARPSBURG MCCULLUM RD STE 205 NEWNAN, GA 30265 | AFLAC | $19 | — | $19 | 0.03% |
| EVELYN O UNDERWOOD3 | 7554 BUFFALO RD NASHVILLE, TN 37221 | AFLAC | $16 | — | $16 | 0.02% |
| JAY S OLEARY3 | 200 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $14 | — | $14 | 0.02% |
| JADEANNE WAGNER3 | 742 WILLOWSPRINGS BLVD FRANKLIN, TN 37064 | AFLAC | $13 | — | $13 | 0.02% |
| SUE B KLINE3 | 413 OLD TOWNE DRIVE BRENTWOOD, TN 37027 | AFLAC | $13 | — | $13 | 0.02% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $12 | — | $12 | 0.02% |
| WILLIAM A BRIGGS3 | 1731 GAY THOMPSON RD RAMER, TN 38367 | AFLAC | $12 | — | $12 | 0.02% |
| BONNIE L TAFT3 | 573 CANE STREET HARRODSBURG, KY 40330 | AFLAC | $12 | — | $12 | 0.02% |
| J GARY CAVE3 | 6412 HARDING PIKE NASHVILLE, TN 37205 | AFLAC | $9 | — | $9 | 0.01% |
| GINNA WILLENBRINK3 | 9705 CORNELL TRACE RD LOUISVILLE, KY 40241 | AFLAC | $7 | — | $7 | 0.01% |
| CYNTHIA L HUBBARD3 | P O BOX 87 DUNBAR, KY 42219 | AFLAC | $7 | — | $7 | 0.01% |
| JAMES A TAFT JR3 | 573 CANE RUN RD HARROLDBURG, KY 40330 | AFLAC | $7 | — | $7 | 0.01% |
| JOSEPH L LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $5 | — | $5 | 0.01% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DR KNOXVILLE, TN 37922 | 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 | $4 | — | $4 | 0.01% |
| JOANNA G MATHERLY3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $4 | — | $4 | 0.01% |
| SANDRA C BALDWIN3 | 146 CHAMBERLAIN DRIVE GEORGETOWN, KY 40324 | AFLAC | $2 | — | $2 | 0.00% |
| RALPH E HOPKINS3 | PO BOX 606 GEORGETOWN, KY 40324 | AFLAC | $2 | — | $2 | 0.00% |
| LINDA S IVEY3 | 1633 PAWNEE PLACE OWENSBORO, KY 42301 | AFLAC | $2 | — | $2 | 0.00% |
| FAITH CRYSTAL TAYLOR3 Filed as: FAITH BURRIS | 251 LONG BEACH DR HOT SPRINGS, AR 71913 | AFLAC | $2 | — | $2 | 0.00% |
| RAYMOND L MELVIN3 Filed as: RAYMOND MELVIN | 1553 NAVIGATOR CIR DACULA, GA 30019 | AFLAC | $1 | — | $1 | 0.00% |
| AMY B CITRON3 | 1024 GRANADA AVE NASHVILLE, TN 37206 | AFLAC | $1 | — | $1 | 0.00% |
| ROGER MURRAY JOHNSON3 | 1311 DECATUR CIR FRANKLIN, TN 37067 | AFLAC | $1 | — | $1 | 0.00% |
| CARLA T WITHERINGTON3 | 1405 HERRING DR COVINGTON, TN 38019 | AFLAC | $1 | — | $1 | 0.00% |
| KANDI H HECKLER3 | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $1 | — | $1 | 0.00% |
| VMI ACQUISITION INC3 | 1240 FAIRWAY ST BOWLING GREEN, KY 42102 | HEALTH RESOURCES, INC. | $5K | — | $5K | 10.00% |
| CHAD M DEVINE3 | 6204 TUCKALEECHEE LANE ANTIOCH, TN 37013 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 3.04% |
| JULIE L TEMPLETON3 | 709 HELMSDALE PLACE SOUTH BRENTWOOD, TN 37027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $818 | — | $818 | 2.27% |
| JON R OVERACRE3 | 916 S WICKSHIRE WAY BRENTWOOD, TN 37027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $400 | — | $400 | 1.11% |
| ALAN W FOSTER3 | 716 FRENCH RIVER RD NOLENSVILLE, TN 37135 | CONTINENTAL AMERICAN INSURANCE COMPANY | $227 | — | $227 | 0.63% |
| VBTN, INC3 Filed as: VBTN INC | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $212 | — | $212 | 0.59% |
| JAY S OLEARY3 Filed as: JAY S O'LEARY | 301 MALLORY STATION RD STE 100 FRANKLIN, TN 37067 | CONTINENTAL AMERICAN INSURANCE COMPANY | $55 | — | $55 | 0.15% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | CONTINENTAL AMERICAN INSURANCE COMPANY | $28 | — | $28 | 0.08% |
| HOUCHENS INSURANCE GROUP INC3 | 1750 SCOTTSVILLE RD STE 4 BOWLING GREEN, KY 42103 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | 15.70% |
| VAN METER INSURANCE AGENCY INC3 Filed as: VAN METER INS AGENCY | PO BOX 1779 BOWLING GREEN, KY 42102 | UNITED HEALTHCARE INSURANCE COMPANY | $1K | — | $1K | 15.29% |
| TRANSAMERICA3 | 1400 CENTERVIEW LITTLE ROCK, AR 72211 | UNITED HEALTHCARE INSURANCE COMPANY | $0 | $433 | $433 | 5.14% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HEALTH RESOURCES, INC. | 145 | $45K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 102 | $8K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 139 | $11K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 77 | $103K |
| Other(2 contracts, 2 carriers) | AFLAC | 77 | $103K |
| 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.