| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT A LEVY3 Filed as: ROBERT LEVY | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $53K | — | $53K | 5.81% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $23K | — | $23K | 15.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY ATLANTA, GA 30339 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 4.98% |
| AXA ASSISTANCE, USA3 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $54 | $54 | 0.04% |
| DAVID M CRUMLEY3 Filed as: DAVID E WATSON | PO BOX 3094 BRENTWOOD, TN 37024 | AFLAC | $12K | $379 | $12K | 16.59% |
| GARY A SPANRAFT3 | 301 ROYAL OAKS BLVD APT 3115 FRANKLIN, TN 37067 | AFLAC | $1K | — | $1K | 1.82% |
| DAVID M CRUMLEY3 Filed as: DAVID CRUMLEY | 5111 MARYLAND WAY STE 210 BRENTWOOD, TN 37027 | AFLAC | $1K | — | $1K | 1.70% |
| GARY A SPANRAFT3 | 58 GREENHEDGE CIR DELAWARE, OH 43015 | AFLAC | $979 | — | $979 | 1.31% |
| DAVID M CRUMLEY3 | 5111 MARYLAND WAY STE 210 BRENTWOOD, TN 37027 | AFLAC | $443 | $145 | $588 | 0.79% |
| BAKER BENEFITS CORP3 | 4219 HILLSBORO PIKE STE 213 NASHVILLE, TN 37215 | AFLAC | $440 | — | $440 | 0.59% |
| HENRY J ROTH3 | 247 W MAIN ST STE O HENDERSONVILLE, TN 37075 | AFLAC | $332 | — | $332 | 0.44% |
| DAVID M CRUMLEY3 Filed as: DAVID CRUMLEY | 240 WILSON PIKE CIR STE 200 BRENTWOOD, TN 37027 | AFLAC | $233 | — | $233 | 0.31% |
| JON R OVERACRE3 | 10502 W 133RD TER APT 107 OVERLAND PARK, KS 66213 | AFLAC | $164 | — | $164 | 0.22% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WILLIAM GLENN BROWN JR | 6639 BROKEN BOW DR ANTIOCH, TN 37013 | AFLAC | $163 | — | $163 | 0.22% |
| MICHAEL DAVIS3 Filed as: MICHAEL DAVID HAYNES | 1707 RICHBOURG PARK DR BRENTWOOD, TN 37027 | AFLAC | $111 | — | $111 | 0.15% |
| WALTER N COFFMAN JR3 | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $110 | — | $110 | 0.15% |
| MARVIN LEE WILKERSON3 | 884 HOLLY TREE GAP RD BRENTWOOD, TN 37027 | AFLAC | $79 | — | $79 | 0.11% |
| TINA MARIE ANGOTTI3 | 2626 N CAMPBELL AVE TUCSON, AZ 85719 | AFLAC | $78 | — | $78 | 0.10% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $70 | — | $70 | 0.09% |
| ANGELA LOUISE SMITH3 | 106 GREEN DR JACKSON, MS 39211 | AFLAC | $68 | — | $68 | 0.09% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LN FRANKLIN, TN 37067 | AFLAC | $56 | — | $56 | 0.07% |
| CRUSER MARKETING INC3 | 7516 BLUEBONNET BLVD 116 BATON ROUGE, LA 70810 | AFLAC | $55 | — | $55 | 0.07% |
| JADEANNE WAGNER3 | 742 WILLOWSPRINGS BLVD FRANKLIN, TN 37064 | AFLAC | $48 | — | $48 | 0.06% |
| DAVID W TINGLEY3 | 7903 ORION CIR UNIT 380 LAUREL, MD 20724 | AFLAC | $43 | — | $43 | 0.06% |
| GEORGE W HURST III3 | 7146 LAKEVIEW CT BRENTWOOD, TN 37027 | AFLAC | $41 | — | $41 | 0.05% |
| WILLIAM WALTER FARRIS3 | 260 JOANN RD SOMERVILLE, TN 38068 | AFLAC | $39 | — | $39 | 0.05% |
| MATTHEW W BOESHORE3 | 100 MADISON ST APT 423 NASHVILLE, TN 37208 | AFLAC | $37 | — | $37 | 0.05% |
| CHRISTIAN ANDRE LEVERN3 | 109 MILLCREEK CORS STE D BRANDON, MS 39047 | AFLAC | $36 | — | $36 | 0.05% |
| BARBARA BATES-DICKEY3 | 1805 CLINCH PL OLD HICKORY, TN 37138 | AFLAC | $35 | — | $35 | 0.05% |
| ROBERT L GOBLE3 | 1410 4TH STREET DR NW UNIT 208 HICKORY, NC 28601 | AFLAC | $33 | — | $33 | 0.04% |
| BRENDA S SPEER3 | PO BOX 327 PULASKI, TN 38478 | AFLAC | $30 | — | $30 | 0.04% |
| JULIE L TEMPLETON3 | 709 HELMSDALE PL S BRENTWOOD, TN 37027 | AFLAC | $29 | — | $29 | 0.04% |
| GARY I HOLT3 | 7040 HIGHWAY 231 N BETHPAGE, TN 37022 | AFLAC | $28 | — | $28 | 0.04% |
| VBTN, INC3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $27 | — | $27 | 0.04% |
| RICHARD D HEYDEL3 | 1921 OLD HICKORY BLVD BRENTWOOD, TN 37027 | AFLAC | $26 | — | $26 | 0.03% |
| SUSAN KNIGHT INS SERV INC3 | 2703 OCEAN DR S 2ND FL JACKSONVILLE BEACH, FL 32250 | AFLAC | $24 | — | $24 | 0.03% |
| JOHN DALLAS BYERS3 | 2026 VALLEY BROOK DR BRENTWOOD, TN 37027 | AFLAC | $24 | — | $24 | 0.03% |
| KANDI M MCINTYRE3 | 2000 MALLORY LN STE 130-378 FRANKLIN, TN 37067 | AFLAC | $22 | — | $22 | 0.03% |
| DAVID L DACUS3 | 9045 FOREST CENTRE DR STE 101 GERMANTOWN, TN 38138 | AFLAC | $21 | — | $21 | 0.03% |
| BRENT L GOODE3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $18 | — | $18 | 0.02% |
| AON CONSULTING INC3 Filed as: C HEWITT INC | 308 LAKE VILLAGE DR MADISON, MS 39110 | AFLAC | $18 | — | $18 | 0.02% |
| DAVID MORNINGSTAR3 | 11285 DOVEDALE CT 2ND FL MARRIOTTSVILLE, MD 21104 | AFLAC | $16 | — | $16 | 0.02% |
| LESLIE H SILTMAN3 | 207 MOORE DR BATESVILLE, MS 38606 | AFLAC | $15 | — | $15 | 0.02% |
| KEEGAN G SMITH3 | 323 W 9TH ST COLUMBIA, TN 38401 | AFLAC | $13 | — | $13 | 0.02% |
| JAY S OLEARY3 | 1802 EAVES CT NOLENSVILLE, TN 37135 | AFLAC | $12 | — | $12 | 0.02% |
| ROBERT M FUDGE3 | 2617 CHURCHILL DR THOMPSONS STATION, TN 37179 | AFLAC | $11 | — | $11 | 0.01% |
| DANIEL E TORRES3 | 1750 FARMINGTON CIR WELLINGTON, FL 33414 | AFLAC | $11 | — | $11 | 0.01% |
| KENNETH B COFER3 | 5950 SYMPHONY WOODS ROAD STE 214 COLUMBIA, MD 21044 | AFLAC | $8 | — | $8 | 0.01% |
| D AND V BUTLER INC3 | 105 LONG LEAF PL MADISON, MS 39110 | AFLAC | $7 | — | $7 | 0.01% |
| PAMELA W EZZELL3 | 2947 CHERRYBARK CT HERMITAGE, TN 37076 | AFLAC | $6 | — | $6 | 0.01% |
| FRAN C HARGARTEN III3 | 1140 MOSSY ROCK RD NW KENNESAW, GA 30152 | AFLAC | $5 | — | $5 | 0.01% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DR KNOXVILLE, TN 37922 | AFLAC | $4 | — | $4 | 0.01% |
| JOANNA G MATHERLY3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $4 | — | $4 | 0.01% |
| JOSEPH L LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $4 | — | $4 | 0.01% |
| DAVID K MOBLEY3 | 3812 VALVERDE CIR JACKSONVILLE, FL 32224 | AFLAC | $4 | — | $4 | 0.01% |
| J C ADAMS INC3 | 5631 NE 31ST TER OCALA, FL 34479 | AFLAC | $3 | — | $3 | 0.00% |
| AUTUMN BETHEA3 | 1053 MUNA CT SPRING HILL, TN 37174 | AFLAC | $3 | — | $3 | 0.00% |
| KANDI H HECKLER3 | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $2 | — | $2 | 0.00% |
| CHRISTIE MARZARI3 Filed as: CHRISTIE M MARZARI | 601 CRESCENT BLVD STE 102 RIDGELAND, MS 39157 | AFLAC | $2 | — | $2 | 0.00% |
| RANDALL D LADNER3 | 6 GREENBRIAR DR GULFPORT, MS 39507 | AFLAC | $2 | — | $2 | 0.00% |
| KIMBERLY MURRAY3 Filed as: KIMBERLY N MURRAY | 8530 WOODLANE DR GERMANTOWN, TN 38138 | AFLAC | $2 | — | $2 | 0.00% |
| AMY B CITRON3 | 1024 GRANADA AVE NASHVILLE, TN 37206 | AFLAC | $2 | — | $2 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RONALD F BROWN | 5150 BAY TOWN CONWAY, AR 72034 | AFLAC | $2 | — | $2 | 0.00% |
| JAMES M PITZ3 | 84 MINK DR CATAULA, GA 31804 | AFLAC | $1 | — | $1 | 0.00% |
| TAMI S GILL3 | 53 MICHELLE DR BRIGHTON, TN 38011 | AFLAC | $1 | — | $1 | 0.00% |
| TONYA SUE ELMORE3 | 1930 HIGHWAY 71 E MANSFIELD, AR 72944 | AFLAC | $1 | — | $1 | 0.00% |
| PARADIGM GROUP3 | 1600 DIVISION STREET STE 220 NASHVILLE, TN 37203 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 9.54% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES | 1250 S CAPITAL OF TX HWY STE 125 AUSTIN, TN 78446 | PRINCIPAL LIFE INSURANCE COMPANY | $335 | — | $335 | 3.00% |
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 | 154 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 269 | $912K |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 269 | $912K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 269 | $912K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 158 | $154K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 158 | $154K |
| Long-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 158 | $165K |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 158 | $229K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 269 | — |
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.