| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENJAMIN DARANG3 Filed as: BENJAMIN KELLY | P.O. BOX 10328 KNOXVILE, TN 37939 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $50K | — | $50K | 5.29% |
| BENEFITS INC3 Filed as: BENEFITS, INC. | P.O. BOX 568 DICKSON, TN 37056 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | $6K | $14K | 11.90% |
| DEBBIE PERKINS3 | 9655 BRUNSWICK DRIVE BRENTWOOD, TN 37027 | COLONIAL LIFE & ACCIDENT COMPANY | $1K | $612 | $2K | 6.09% |
| CLYDE P. MCFADDEN3 | 3322 WEST END AVENUE NASHVILLE, TN 37203 | COLONIAL LIFE & ACCIDENT COMPANY | $918 | — | $918 | 3.35% |
| JULIA MICHELLE TAMER3 | 6500 PAPERMILL ROAD SUITE 106 KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT COMPANY | $406 | $7 | $413 | 1.51% |
| LYNN MARIE BARRY3 | P.O. BOX 1287 LANGHORNE, PA 19047 | COLONIAL LIFE & ACCIDENT COMPANY | $237 | $47 | $284 | 1.04% |
| JM TAMER & CO3 Filed as: JM TAMER & CO. | 6500 PAPERMILL DRIVE KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT COMPANY | $233 | $30 | $263 | 0.96% |
| DANIEL JAMES PERKINS3 | 9655 BRUNSWICK DRIVE BRENTWOOD, TN 37027 | COLONIAL LIFE & ACCIDENT COMPANY | $237 | — | $237 | 0.86% |
| DALE L. STROTHER & ASSOCIATES3 | P.O. BOX 1575 JOHNSON CITY, TN 37605 | COLONIAL LIFE & ACCIDENT COMPANY | $168 | — | $168 | 0.61% |
| THE ESTATE OF JOHN W. DUKES3 | 9251 WANDERING WAY OOLTEWAH, TN 37363 | COLONIAL LIFE & ACCIDENT COMPANY | $154 | — | $154 | 0.56% |
| WILLIAM RICHARD KYZER3 | 8211 GORDON LANE HERMITAGE, TN 37076 | COLONIAL LIFE & ACCIDENT COMPANY | $115 | $17 | $132 | 0.48% |
| JOHN T ROBERTS3 Filed as: JOHN W. DUKES | 9251 WANDERING WAY OOLTEWAH, TN 37363 | COLONIAL LIFE & ACCIDENT COMPANY | $114 | — | $114 | 0.42% |
| VICTORIA L FLYNN3 Filed as: VICTORIA L. FLYNN | 7009 FAIRVIEW ROAD CORRYTON, TN 37721 | COLONIAL LIFE & ACCIDENT COMPANY | $73 | — | $73 | 0.27% |
| VICKIE E LEWIS3 Filed as: VICKIE E. LEWIS | 6558 STOVALL ROAD CAVE CITY, KY 42127 | COLONIAL LIFE & ACCIDENT COMPANY | $55 | — | $55 | 0.20% |
| JOSEPH M TAMER3 Filed as: JOSEPH M. TAMER | 6500 PAPERMILL DRIVE KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT COMPANY | $42 | $3 | $45 | 0.16% |
| LVI BENEFITS SERVICES LLC3 | 2985 SURREY RIDGE ROAD CLARKSVILLE, TN 37043 | COLONIAL LIFE & ACCIDENT COMPANY | $42 | — | $42 | 0.15% |
| MICHAEL C. PEVEAR3 | 907 NASH STREET NW WILSON, NC 27893 | COLONIAL LIFE & ACCIDENT COMPANY | $42 | — | $42 | 0.15% |
| SUSAN FONTANA FLYNN3 | 8814 EAGLE POINT DRIVE KNOXVILLE, TN 37931 | COLONIAL LIFE & ACCIDENT COMPANY | $35 | — | $35 | 0.13% |
| MARY DAUGHERTY3 | 7625 STAR GAZING LANE KNOXVILLE, TN 37938 | COLONIAL LIFE & ACCIDENT COMPANY | $25 | — | $25 | 0.09% |
| BENJAMIN POMEROY3 | 2300 OAKENGATE LANE MIDLOTHIAN, VA 23113 | COLONIAL LIFE & ACCIDENT COMPANY | $20 | — | $20 | 0.07% |
| SHARON SIMPSON MCCLENDON3 | 4207 TURKEY CREEK ROAD PLANT CITY, FL 33567 | COLONIAL LIFE & ACCIDENT COMPANY | $19 | — | $19 | 0.07% |
| MARK CHRISTOPHER HOLLAND3 | P.O. BOX 38366 GERMANTOWN, TN 38183 | COLONIAL LIFE & ACCIDENT COMPANY | $10 | — | $10 | 0.04% |
| SHEILA A SHELL3 Filed as: SHEILA A. SHELL | 413 MOSS TRAIL GOODLETTSVILLE, TN 37072 | COLONIAL LIFE & ACCIDENT COMPANY | $9 | — | $9 | 0.03% |
| PIERCE GROUP BENEFITS LLC3 | 4928 LINKSLAND DRIVE HOLLY SPRINGS, NC 27540 | COLONIAL LIFE & ACCIDENT COMPANY | $3 | — | $3 | 0.01% |
| GLENN ZIMMERMAN INC3 Filed as: GLENN PIERCE | 4928 LINKSLAND DRIVE HOLLY SPRINGS, NC 27540 | COLONIAL LIFE & ACCIDENT COMPANY | $3 | — | $3 | 0.01% |
| WIDENER INSURANCE AGENCY INC.3 | 607 BAXTER STREET JOHNSON CITY, TN 37601 | COLONIAL LIFE & ACCIDENT COMPANY | $1 | — | $1 | 0.00% |
| MILTON FAULK3 | 2605 TATTON DRIVE RALEIGH, NC 27608 | COLONIAL LIFE & ACCIDENT COMPANY | $1 | — | $1 | 0.00% |
| FRED RAAB3 | 1001 RIVERMEAD LANE WAKE FOREST, NC 27587 | COLONIAL LIFE & ACCIDENT COMPANY | $1 | — | $1 | 0.00% |
| G C WILSON & COMPANY3 Filed as: G C WILSON & COMPANY, INC. | 2300 TYSON STREET RALEIGH, NC 27612 | COLONIAL LIFE & ACCIDENT COMPANY | $1 | $0 | $1 | 0.00% |
| CLYDE P. MCFADDEN3 | 210 25TH AVENUE N. SUITE 1200 NASHVILLE, TN 37203 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| CLYDE P. MCFADDEN3 | 210 25TH AVENUE N. SUITE 1200 NASHVILLE, TN 37203 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| CLYDE P. MCFADDEN3 Filed as: CLYDE PATTERSON MCFADDEN | 2908 POSTON AVENUE SUITE 1 NASHVILLE, TN 37203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| CLYDE P. MCFADDEN3 | 210 25TH AVENUE N. SUITE 1200 NASHVILLE, TN 37203 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $963 | — | $963 | 10.01% |
| ANITA D. CRAIG3 | 9251 WANDERING WAY OOLTEWAH, TN 37363 | ASSURITY LIFE INSURANCE COMPANY | $250 | — | $250 | 10.00% |
| WHITTEN & ASSOCIATES WORKSITE3 Filed as: WHITTEN & ASSOCIATES | 419 E. TENNESSEE STREET FLORENCE, AL 35630 | ASSURITY LIFE INSURANCE COMPANY | $125 | — | $125 | 5.00% |
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 | 180 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 283 | $941K |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 142 | $119K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 142 | $119K |
| Life insurance(4 contracts, 4 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 182 | $170K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT COMPANY | 160 | $48K |
| Long-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT COMPANY | 160 | $43K |
| Other(4 contracts, 4 carriers) | COLONIAL LIFE & ACCIDENT COMPANY | 182 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 283 | — |
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.