| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JEFFREY WALLACE3 | P.O. BOX 5806 MARYVILLE, TN 37802 | BLUERE OF TENNESSEE | $41K | — | $41K | 14.15% |
| JEFFREY WALLACE3 | 550 E. BROADWAY AVENUE MARYVILLE, TN 37804 | BLUECROSS BLUE SHIELD OF TENNESSEE, INC. | $12K | — | $12K | 11.30% |
| VARIOUS - SEE ATTACHED3 Filed as: AFLAC | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $19K | $465 | $20K | 29.21% |
| JEFF WALLACE3 | 550 EAST BROADWAY MARYVILLE, TN 37804 | PAN-AMERICAN LIFE INSURANCE CO | $3K | — | $3K | 9.70% |
| BENEFIT SERVICES GROUP, INC.3 Filed as: BENEFIT SERVICES GROUP LLC | P.O. BOX 5806 MARYVILLE, TN 37802 | UNITED OF OMAHA LIFE INSURANCE | $634 | — | $634 | 15.00% |
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 | 316 | 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) | 316 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUERE OF TENNESSEE | 313 | $290K |
| Dental | BLUECROSS BLUE SHIELD OF TENNESSEE, INC. | 359 | $107K |
| Vision | BLUECROSS BLUE SHIELD OF TENNESSEE, INC. | 359 | $107K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 270 | $72K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 359 | — |
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.