| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT A LEVY3 Filed as: ROBERT DUGGAN C/O PARADIGM GROUP | 1600 DIVISION STREET SUITE 220 NASHVILLE, TN 37203 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $40K | — | $40K | 6.45% |
| ROBERT A LEVY3 Filed as: ROBERT LEVY C/O PARADIGM GROUP | 1600 DIVISION STREET SUITE 220 NASHVILLE, TN 37203 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $4K | — | $4K | 0.68% |
| PARADIGM GROUP3 | 1600 DIVISION STREET SUITE 220 NASHVILLE, TN 37203 | STANDARD INSURANCE COMPANY | $9K | — | $9K | 16.73% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TEXAS HIGHWAY BUILDING 2, SUITE 125 AUSTIN, TX 78746 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 2.28% |
| DAVID M CRUMLEY3 Filed as: DAVID E WATSON | PO BOX 3084 BRENTWOOD, TN 37024 | AFLAC | $7K | $172 | $7K | 14.06% |
| HENRY J ROTH3 | 113 WINDHAM DRIVE HENDERSONVILLE, TN 37075 | AFLAC | $1K | $34 | $1K | 2.99% |
| JON R OVERACRE3 | 6700 ANTIOCH ROAD SUITE 100 OVERLAND PARK, KS 66204 | AFLAC | $876 | $34 | $910 | 1.89% |
| BAKER BENEFITS CORP3 | 4219 HILLSBORO ROAD SUITE 213 NASHVILLE, TN 37215 | AFLAC | $450 | — | $450 | 0.93% |
| ANGELA LOUISE SMITH3 | 106 GREEN DRIVE JACKSON, MS 39211 | AFLAC | $106 | $67 | $173 | 0.36% |
| MICHAEL DAVIS3 Filed as: MICHAEL DAVID HAYNES | 1707 RICHBOURG PARK DRIVE BRENTWOOD, TN 37027 | AFLAC | $121 | — | $121 | 0.25% |
| WALTER N COFFMAN JR3 | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $108 | — | $108 | 0.22% |
| JADEANNE WAGNER3 | 742 WILLOWSPRINGS BOULEVARD FRANKLIN, TN 37064 | AFLAC | $97 | — | $97 | 0.20% |
| VBTN, INC3 Filed as: VBTN, INC. | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $53 | $34 | $87 | 0.18% |
| TINA MARIE ANGOTTI3 | 1145 WEST STACEY LANE TEMPE, AZ 85284 | AFLAC | $85 | — | $85 | 0.18% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $82 | — | $82 | 0.17% |
| MARVIN LEE WILKERSON3 | 884 HOLLY TREE GAP ROAD BRENTWOOD, TN 37027 | AFLAC | $77 | — | $77 | 0.16% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LANE FRANKLIN, TN 37067 | AFLAC | $71 | — | $71 | 0.15% |
| CHRISTIAN ANDRE LEVERN3 | 109 MILLCREEK CORNERS SUITE D BRANDON, MS 39047 | AFLAC | $56 | $13 | $69 | 0.14% |
| CRUSER MARKETING INC3 Filed as: CRUSER MARKETING INC. | 7516 BLUEBONNET BOULEVARD SUITE 116 BATON ROUGE, LA 70810 | AFLAC | $66 | — | $66 | 0.14% |
| BARBARA BATES-DICKEY3 | 1805 CLINCH PLACE OLD HICKORY, TN 37138 | AFLAC | $53 | — | $53 | 0.11% |
| GEORGE W HURST III3 | 7146 LAKEVIEW COURT BRENTWOOD, TN 37027 | AFLAC | $52 | — | $52 | 0.11% |
| DAVID W TINGLEY3 | 7903 ORION CIRCLE UNIT 380 LAUREL, MD 20724 | AFLAC | $47 | — | $47 | 0.10% |
| WILLIAM WALTER FARRIS3 | 260 JOANN ROAD SOMERVILLE, TN 38068 | AFLAC | $43 | — | $43 | 0.09% |
| BRENDA S SPEER3 | PO BOX 327 PULASKI, TN 38478 | AFLAC | $39 | — | $39 | 0.08% |
| JULIE L TEMPLETON3 | 709 HELMSDALE PLACE SOUTH BRENTWOOD, TN 37027 | AFLAC | $36 | — | $36 | 0.07% |
| ROBERT L GOBLE3 | 6008 NC HIGHWAY 16S TAYLORSVILLE, NC 28681 | AFLAC | $31 | — | $31 | 0.06% |
| GARY I HOLT3 | 7040 HIGHWAY 231 NORTH BETHPAGE, TN 37022 | AFLAC | $31 | — | $31 | 0.06% |
| MATTHEW W BOESHORE3 | 2007 SLAYTON DRIVE SPRING HILL, TN 37174 | AFLAC | $30 | — | $30 | 0.06% |
| KANDI M MCINTYRE3 | 2000 MALLORY LANE SUITE 130-378 FRANKLIN, TN 37067 | AFLAC | $30 | — | $30 | 0.06% |
| RICHARD D HEYDEL3 | 1921 OLD HICKORY BOULEVARD BRENTWOOD, TN 37027 | AFLAC | $30 | — | $30 | 0.06% |
| AON CONSULTING INC3 Filed as: C HEWITT INC | 2000 MALLORY LANE SUITE 130-378 FRANKLIN, TN 37067 | AFLAC | $30 | — | $30 | 0.06% |
| SUSAN KNIGHT INS SERV INC3 Filed as: SUSAN KNIGHT INSURANCE SERVICES | 2703 OCEAN DRIVE SOUTH 2ND FLOOR JACKSONVILLE BEACH, FL 32250 | AFLAC | $27 | — | $27 | 0.06% |
| D AND V BUTLER INC3 | 601 CRESCENT BOULEVARD SUITE 102 RIDGELAND, MS 39157 | AFLAC | $11 | $13 | $24 | 0.05% |
| DAVID L DACUS3 Filed as: DAVID L DACUS C/O EXECUTIVE BENEFIT | 1133 POLO DRIVE SUITE 101 COLLIERVILLE, TN 38017 | AFLAC | $22 | — | $22 | 0.05% |
| LESLIE H SILTMAN3 | 207 MOORE DRIVE BATESVILLE, MS 38606 | AFLAC | $22 | — | $22 | 0.05% |
| JOHN DALLAS BYERS3 | 2477 TITANS LANE BRENTWOOD, TN 37027 | AFLAC | $20 | — | $20 | 0.04% |
| KEEGAN G SMITH3 | 323 WEST 9TH STREET COLUMBIA, TN 38401 | AFLAC | $19 | — | $19 | 0.04% |
| DAVID MORNINGSTAR3 | 11285 DOVEDALE COURT 2ND FLOOR MARRIOTTSVILLE, MD 21104 | AFLAC | $18 | — | $18 | 0.04% |
| BRENT L GOODE3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $17 | — | $17 | 0.04% |
| ROBERT M FUDGE3 | 1540 BUNBURY DRIVE THOMPSONS STATION, TN 37179 | AFLAC | $12 | — | $12 | 0.02% |
| DANIEL E TORRES3 | 1750 FARMINGTON CIRCLE WELLINGTON, FL 33414 | AFLAC | $12 | — | $12 | 0.02% |
| KENNETH B COFER3 | 5950 SYMPHONY WOODS ROAD SUITE 214 COLUMBIA, MD 21044 | AFLAC | $9 | — | $9 | 0.02% |
| FRAN C HARGARTEN III3 | 1140 MOSSY ROCK ROAD NORTHWEST KENNESAW, GA 30152 | AFLAC | $5 | — | $5 | 0.01% |
| DAVID K MOBLEY3 | 3812 VALVERDE CIRCLE JACKSONVILLE, FL 32224 | AFLAC | $4 | — | $4 | 0.01% |
| J C ADAMS INC3 Filed as: JC ADAMS INC | 561 NORTHEAST 31ST TERRACE OCALA, FL 34479 | AFLAC | $3 | — | $3 | 0.01% |
| AUTUMN BETHEA3 | 3023 CANDLELITE DRIVE SPRING HILL, TN 37174 | AFLAC | $2 | — | $2 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RONALD F BROWN | 5150 BAY TOWN CONWAY, AR 72034 | AFLAC | $1 | — | $1 | 0.00% |
| PARADIGM GROUP3 | 1600 DIVISION STREET SUITE 220 NASHVILLE, TN 37203 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 16.91% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES, INC. | 1250 CAPITAL OF TEXAS HIGHWAY BUILDING 2, SUITE 125 AUSTIN, TX 78746 | STANDARD INSURANCE COMPANY | $824 | — | $824 | 2.36% |
| PARADIGM GROUP3 | 1600 DIVISION STREET SUITE 220 NASHVILLE, TN 37203 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 16.91% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES, INC. | 1250 CAPITAL OF TEXAS HIGHWAY BUILDING 2, SUITE 125 AUSTIN, TX 78746 | STANDARD INSURANCE COMPANY | $735 | — | $735 | 2.36% |
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 | 143 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 147 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 227 | $665K |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 227 | $617K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 227 | $617K |
| Life insurance | STANDARD INSURANCE COMPANY | 143 | $54K |
| Short-term disability | STANDARD INSURANCE COMPANY | 107 | $35K |
| Long-term disability | STANDARD INSURANCE COMPANY | 107 | $31K |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 143 | $102K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.