| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MEDOVA HEALTHCARE5 | 235 N RIVERVIEW ST STE 600 WICHITA, KS 67203 | NATIONAL HEALTH INSURANCE COMPANY | — | $99K | $99K | 20.79% |
| NGMS OF MEMPHIS3 | 1770 KIRBY PKWY STE 400 MEMPHIS, TN 38138 | NATIONAL HEALTH INSURANCE COMPANY | $47K | — | $47K | 9.83% |
| PHCS4 Filed as: MULTIPLAN INC - PHCS | PO BOX 29380 GENERAL POST OFFICE NEW YORK, NY 10087 | NATIONAL HEALTH INSURANCE COMPANY | — | $22K | $22K | 4.68% |
| LIFESTYLE HEALTH ADVISORS3 | 29 GEORGETOWN COVE JACKSON, TN 38305 | NATIONAL HEALTH INSURANCE COMPANY | $19K | — | $19K | 3.93% |
| HEALTH PARTNERS PPO4 | PO BOX 3490 JACKSON, TN 38303 | NATIONAL HEALTH INSURANCE COMPANY | — | $7K | $7K | 1.53% |
| MEDCOM UTILIZATION MANAGEMENT4 | 2100 COVINGTON CENTRE COVINGTON, LA 70433 | NATIONAL HEALTH INSURANCE COMPANY | — | $3K | $3K | 0.71% |
| NORTHWESTERN GROUP MARKETING3 Filed as: NORTHWESTERN GROUP MARKETING SERVIC | 1770 KIRBY PARKWAY SUITE 400 MEMPHIS, TN 38138 | USABLE LIFE | $25K | — | $25K | 13.44% |
| GROUP INSURANCE SERVICES INC3 | 1 CAMERON HILL CIRCLE 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $18K | — | $18K | 10.08% |
| STEVE JETT3 | 1770 KIRBY PARKWAY SUITE 400 FORUM 111 MEMPHIS, TN 38138 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $8K | — | $8K | 7.02% |
| MATTHEW B MORASKI3 Filed as: MATTHEW A FARRIS | 1770 KIRBY PARKWAY SUITE 400 FORUM III MEMPHIS, TN 38138 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $2K | — | $2K | 1.87% |
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 | 173 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | NATIONAL HEALTH INSURANCE COMPANY | 155 | $476K |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 323 | $108K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 323 | $108K |
| Life insurance | USABLE LIFE | 173 | $183K |
| Short-term disability | USABLE LIFE | 173 | $183K |
| Long-term disability | USABLE LIFE | 173 | $183K |
| Stop-loss / reinsurancereinsurance | NATIONAL HEALTH INSURANCE COMPANY | 155 | $476K |
| Other | USABLE LIFE | 173 | $183K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 323 | — |
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.