| 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 | $19K | — | $19K | 1.86% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HUMAN RESOURCE CONSULTING IN | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | — | $18K | $18K | 1.74% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HM LIFE INSURANCE COMPANY | $32K | — | $32K | 5.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | $14K | $1K | $15K | 16.11% |
| BROWNIE D HALL3 | 321 W MAIN ST LEBANON, TN 37087 | AFLAC | $428 | — | $428 | 3.96% |
| PAYLOGIX3 | 1025 OLD COUNTRY ROAD SUITE 310 WESTBURY, NY 11590 | AFLAC | $213 | — | $213 | 1.97% |
| GARY W LOVELL3 | PO BOX 90866 NASHVILLE, TN 37209 | AFLAC | $186 | — | $186 | 1.72% |
| RICHARD R WHITENER3 | 300 BARTON FERRY COURT LEBANON, TN 37087 | AFLAC | $186 | — | $186 | 1.72% |
| WILSON BANK & TRUST3 | 623 WEST MAIN ST LEBANON, TN 37087 | AFLAC | $147 | — | $147 | 1.36% |
| DAVID B RAY3 | 5122 STONEWOOD DR SMYRNA, TN 37167 | AFLAC | $81 | — | $81 | 0.75% |
| RICK R THORNE3 | 321 W MAIN ST LEBANON, TN 37087 | AFLAC | $79 | — | $79 | 0.73% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LANE FRANKLIN, TN 37067 | AFLAC | $59 | — | $59 | 0.55% |
| JAMES C FARMER JR3 | 641 OLD HICKORY BLVD UNIT 60 BRENTWOOD, TN 37027 | AFLAC | $23 | — | $23 | 0.21% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $17 | — | $17 | 0.16% |
| LESLIE H SILTMAN3 | 207 MOORE DRIVE BATESVILLE, MS 38606 | AFLAC | $10 | — | $10 | 0.09% |
| CARL BUTLER RAGLAND JR3 | 1705 HOLLOW OAK DRIVE LEBANON, TN 37087 | AFLAC | $8 | — | $8 | 0.07% |
| KANDI H HECKLER3 | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $6 | — | $6 | 0.06% |
| AUTUMN BETHEA3 | 1053 MUNA CT SPRING HILL, TN 37174 | AFLAC | $1 | — | $1 | 0.01% |
| RONALD A DASHKOVITZ3 | 20 MILLPOND TRAIL SAGNAW, MI 48603 | AFLAC | $1 | — | $1 | 0.01% |
| MCGRIFF INSURANCE SERVICES INC3 | 7701 AIRPORT CENTER DRIVE GREENSBORO, NC 27409 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $136 | — | $136 | 2.74% |
| SHARON MAY LINDSAY3 | 2911 STAGE RUN DRIVE HIXON, TN 37343 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $102 | — | $102 | 2.05% |
| KATHERINE C ROBERTS3 | 8846 PICADILLY TRAIL OOLTEWAH, TN 37363 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $54 | — | $54 | 1.09% |
| BENEFITS COUNT INC3 Filed as: BENEFITS COUNT II INC | 1401 CHRISTIMAS COURT RALEIGH, NC 27604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 0.50% |
| THE ADAMSON GROUP INC3 | 344 SUMMERSET DR CHAPIN, SC 29036 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | — | $24 | 0.48% |
| INSYNC BENEFITS INC3 | PO BOX 1474 CORNELIUS, NC 28031 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | — | $15 | 0.30% |
| MAX MARTIN LINDSAY3 | 2911 STAGE RUN DRIVE HIXON, TN 37343 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.16% |
| ADVANCED BENEFIT SYSTEM INC3 | 145 RIVER LANDING DRIVE DANIEL ISLAND, SC 29492 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.02% |
| BROWNIE D HALL3 | 321 W MAIN ST LEBANON, TN 37087 | AFLAC | $207 | — | $207 | 4.25% |
| PAYLOGIX3 | 1025 OLD COUNTRY RD STE 310 WESTBURY, NY 11590 | AFLAC | $102 | — | $102 | 2.10% |
| RICHARD R WHITENER3 | 300 BARTON FERRY CT LEBANON, TN 37087 | AFLAC | $89 | — | $89 | 1.83% |
| GARY W LOVELL3 | PO BOX 90866 NASHVILLE, TN 37209 | AFLAC | $88 | — | $88 | 1.81% |
| WILSON BANK & TRUST3 | 623 W MAIN ST LEBANON, TN 37087 | AFLAC | $70 | — | $70 | 1.44% |
| DAVID B RAY3 | 5122 STONEWOOD DR SMYRNA, TN 37167 | AFLAC | $39 | — | $39 | 0.80% |
| RICH R THORNE3 | 321 W MAIN ST LEBANON, TN 37087 | AFLAC | $38 | — | $38 | 0.78% |
| RONALD H RICHEY3 | 4499 MURFREESBORO RD FRANKLIN, TN 37067 | AFLAC | $28 | — | $28 | 0.58% |
| JAMES C FARMER JR3 | 641 OLD HICKORY BLVD UNIT 60 BRENTWOOD, TN 37027 | AFLAC | $11 | — | $11 | 0.23% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $8 | — | $8 | 0.16% |
| LESLIE H SILTMAN3 | 207 MOORE DR BATESVILLE, MS 38606 | AFLAC | $5 | — | $5 | 0.10% |
| KANDI H HECKLER3 | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $3 | — | $3 | 0.06% |
| AUTUMN BETHEA3 | 1053 MUNA CT SPRING HILL, TN 37174 | AFLAC | $1 | — | $1 | 0.02% |
| JW RAINEY INC3 | 229 WARD CIRCLE SUITE B12 PO BOX 3003 BRENTWOOD, TN 37027 | THE CANADA LIFE ASSURANCE COMPANY | $164 | — | $164 | 13.82% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF TENNESSEE EIN 62-0427913 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $1.1M |
| HEALTHEQUITY EIN 52-2383166 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $29K |
| WEAVER C BARKSDALE & ASSOCIATES INC INVESTMENT MANAGER | Investment management Service code 28 | ONE BURTON HILLS BLVD SUITE 100 NASHVILLE, TN 37215 | $24K |
| TENNESSEE FARMERS COOPERATIVE EIN 62-0435104 PLAN SPONSOR | Other fees Service code 99 | — | $9K |
| REGIONS BANK CUSTODIAN | Custodial (securities) Service code 19 | 315 DEADERICK ST - 3RD FL NASHVILLE, TN 37238 | $3K |
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 | 1,637 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 36 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,673 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 4,340 | $0 |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 3,131 | $641K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 3,131 | $641K |
| Life insurance(5 contracts, 5 carriers) | HARTFORD LIFE AND ACCIDENT | 2,117 | $1.0M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 2,117 | $1.0M |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 1,637 | $637K |
| Other(7 contracts, 6 carriers) | HARTFORD LIFE AND ACCIDENT | 2,900 | $136K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,340 | — |
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.