| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | $29K | — | $29K | 2.99% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HUMAN RESOURCE CONSULTING | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | — | $12K | $12K | 1.28% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HM LIFE INSURANCE COMPANY | $13K | — | $13K | 4.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 1801 WEST END AVE, SUITE 1500 NASHVILLE, TN 37203 | HARTFORD LIFE AND ACCIDENT | $13K | $214 | $13K | 15.25% |
| BROWNIE D HALL3 | 321 W MAIN ST LEBANON, TN 37087 | AFLAC | $582 | — | $582 | 3.17% |
| PAYLOGIX3 | 1025 OLD COUNTRY ROAD SUITE 310 WESTBURY, NY 11590 | AFLAC | $315 | — | $315 | 1.71% |
| GARY W LOVELL3 | PO BOX 682146 FRANKLIN, TN 37068 | AFLAC | $295 | — | $295 | 1.60% |
| RICHARD R WHITENER3 | 300 BARTON FERRY COURT LEBANON, TN 37087 | AFLAC | $240 | — | $240 | 1.31% |
| WILSON BANK & TRUST3 | 623 WEST MAIN ST LEBANON, TN 37087 | AFLAC | $236 | — | $236 | 1.28% |
| RICK R THORNE3 | 321 W MAIN ST LEBANON, TN 37087 | AFLAC | $183 | — | $183 | 1.00% |
| DAVID B RAY3 | 5122 STONEWOOD DR SMYRNA, TN 37167 | AFLAC | $156 | — | $156 | 0.85% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LANE FRANKLIN, TN 37064 | AFLAC | $86 | — | $86 | 0.47% |
| W REID PATTON3 | PO BOX 218 SEWANEE, TN 37375 | AFLAC | $51 | — | $51 | 0.28% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $36 | — | $36 | 0.20% |
| CARL BUTLER RAGLAND JR3 | 1705 HOLLOW OAK DRIVE LEBANON, TN 37087 | AFLAC | $33 | — | $33 | 0.18% |
| JANE E TUCKER3 | PO BOX 2825 SHELBYVILLE, TN 37162 | AFLAC | $31 | — | $31 | 0.17% |
| JAMES C FARMER JR3 | 641 OLD HICKORY BLVD UNIT 6D BRENTWOOD, TN 37027 | AFLAC | $24 | — | $24 | 0.13% |
| LESLIE H SILTMAN3 | 207 MOORE DRIVE BATESVILLE, MS 38606 | AFLAC | $23 | — | $23 | 0.13% |
| WAYNE E BURTON3 | 433 SOUTH PLANTATION DRIVE COOKEVILLE, TN 38506 | AFLAC | $21 | — | $21 | 0.11% |
| PHYLLIS DAWN HESLEP3 Filed as: PHYLLIS S BRALY | PO BOX 327 PULASKI, TN 38478 | AFLAC | $10 | — | $10 | 0.05% |
| WHITWELL & ASSOCIATES INC3 | 702 DOW DRIVE SHELBYVILLE, TN 37160 | AFLAC | $9 | — | $9 | 0.05% |
| JOHN H SEWELL3 | 1933 SHENANDOAH TRAIL LEBANON, TN 37087 | AFLAC | $9 | — | $9 | 0.05% |
| KANDI H HECKLER3 | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $7 | — | $7 | 0.04% |
| WILLIAM D HEYDEL3 | 524 CROWELL LANE LEBANON, TN 37087 | AFLAC | $5 | — | $5 | 0.03% |
| WILLIAM D HEYDEL3 | 109 N CASTLE HEIGHTS AVE LEBANON, TN 37087 | AFLAC | $5 | — | $5 | 0.03% |
| RONALD A DASHKOVITZ3 | 20 MILLPOND TRAIL SAGINAW, MI 48603 | AFLAC | $2 | — | $2 | 0.01% |
| RICHARD D HEYDEL3 | 1921 OLD HICKORY BLVD BRENTWOOD, TN 37027 | AFLAC | $2 | — | $2 | 0.01% |
| AUTUMN BETHEA3 | 1053 MUNA CT SPRING HILL, TN 37174 | AFLAC | $1 | — | $1 | 0.01% |
| BRIAN E HICKS3 | 188 FRONT STREET STE 116 39 FRANKLIN, TN 37084 | AFLAC | $1 | — | $1 | 0.01% |
| MATT STEINHAUER III3 | 100 YORKSHIRE CT HENDERSONVILLE, TN 37075 | AFLAC | $1 | — | $1 | 0.01% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 414 GALLIMORE DAIRY ROAD GREENSBORO, NC 27409 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $248 | — | $248 | 2.83% |
| SHARON MAY LINDSAY3 | 2911 STAGE RUN DRIVE HIXON, TN 37343 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $199 | — | $199 | 2.27% |
| KATHERINE C ROBERTS3 | 8846 PICADILLY TRAIL OOLTEWAH, TN 37363 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $110 | — | $110 | 1.25% |
| BENEFITS COUNT INC3 Filed as: BENEFITS COUNT II INC | 1401 CHRISTIMAS COURT RALEIGH, NC 27604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $46 | — | $46 | 0.52% |
| THE ADAMSON GROUP INC3 | 344 SUMMERSET DR CHAPIN, SC 29036 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $43 | — | $43 | 0.49% |
| INSYNC BENEFITS INC3 | PO BOX 1474 CORNELIUS, NC 28031 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $28 | — | $28 | 0.32% |
| MAX MARTIN LINDSAY3 | 2911 STAGE RUN DRIVE HIXON, TN 37343 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 0.16% |
| ADVANCED BENEFIT SYSTEM INC3 | 245 SEVEN FARMS DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.02% |
| J W RAINEY INC3 | 2900 VANDERBILT PLACE NASHVILLE, TN 37212 | THE CANADA LIFE ASSURANCE COMPANY | $258 | — | $258 | 11.45% |
| THW INSURANCE SERVICES LLC3 | 321 WEST MAIN STREET LEBANON, TN 37087 | PENN TREATY NETWORK AMERICA INSURANCE COMPANY | $31 | — | $31 | 7.43% |
| M&O MARKETING INC3 | 4000 TOWN CENTER SUITE 11 SOUTHFIELD, MI 480751401 | PENN TREATY NETWORK AMERICA INSURANCE COMPANY | $8 | — | $8 | 1.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF TENNESSEE EIN 62-0427913 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $1.2M |
| HEALTHEQUITY EIN 52-2383166 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $26K |
| WEAVER C BARKSDALE & ASSOCIATES INC INVESTMENT MANAGER | Investment management Service code 28 | ONE BURTON HILLS BLVD SUITE 100 NASHVILLE, TN 37215 | $22K |
| REGIONS BANK CUSTODIAN | Custodial (securities) Service code 19 | 315 DEADERICK ST - 3RD FL NASHVILLE, TN 37238 | $6K |
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 | 2,127 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 39 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 2,074 | $0 |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 2,724 | $522K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 2,724 | $522K |
| Life insurance(6 contracts, 6 carriers) | HARTFORD LIFE AND ACCIDENT | 2,135 | $1.0M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 2,135 | $958K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 2,129 | $315K |
| Other(5 contracts, 5 carriers) | HARTFORD LIFE AND ACCIDENT | 2,127 | $148K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,724 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.