| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RHONDA MICHEL SHOCKLEY3 | 935 ETHANS GLEN DR KNOXVILLE, TN 37923 | PRINCIPAL LIFE INSURANCE | $22K | — | $22K | 4.57% |
| SHAFER INSURANCE AGENCY INC3 Filed as: SHAFER INS AGCY | 1100 MARION ST STE 200 KNOXVILLE, TN 37921 | PRINCIPAL LIFE INSURANCE | $2K | — | $2K | 0.41% |
| LISA ROBINETTE3 | 1100 MARION ST STE 200 KNOXVILLE, TN 37921 | BLUERE OF TENNESSEE | $10K | — | $10K | 2.11% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUERE OF TENNESSEE EIN 62-0427913 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 1 CAMERON HILL CIRCLE CHATTANOOGA, TN 37402 | $184K |
| LISA ROBINETTE BROKER | Insurance agents and brokers Service code 22 | 1100 MARION ST STE 200 KNOXVILLE, TN 37921 | $45K |
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 | 585 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 585 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUERE OF TENNESSEE | 795 | $475K |
| Dental | BLUERE OF TENNESSEE | 795 | $475K |
| Vision | BLUERE OF TENNESSEE | 795 | $475K |
| Life insurance | PRINCIPAL LIFE INSURANCE | 796 | $487K |
| Short-term disability | PRINCIPAL LIFE INSURANCE | 796 | $487K |
| Long-term disability | PRINCIPAL LIFE INSURANCE | 796 | $487K |
| Prescription drug | BLUERE OF TENNESSEE | 795 | $475K |
| Stop-loss / reinsurancereinsurance | BLUERE OF TENNESSEE | 795 | $475K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 796 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.