| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM THOMAS3 Filed as: WILLIAM M THOMAS | TIS INS SER PO BOX 10328 KNOXVILLE, TN 37939 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $81K | — | $81K | 5.95% |
| MARK F. GRABER3 Filed as: MARK F GRABER | 9111 CROSS PARK DRIVE D-200 KNOXVILLE, TN 37923 | DELTA DENTAL OF TENNESSEE | $9K | — | $9K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICES INC | PO BOX 10328 KNOXVILLE, TN 37939 | AFLAC | $17K | $141 | $17K | 19.61% |
| ERIN PEDERSON3 Filed as: ERIN M PEDERSON | 8405 VININGS WAY KNOXVILLE, TN 37919 | AFLAC | $7K | $3K | $10K | 10.65% |
| DANNY J HOLLOWAY3 | PO BOX 4265 MARYVILLE, TN 37802 | AFLAC | $5K | $13 | $5K | 5.19% |
| KEVIN R KRAGENBRINK3 | 8405 VININGS WAY KNOXVILLE, TN 37919 | AFLAC | $3K | — | $3K | 3.79% |
| ANNE E SWANSON3 | 123 CENTER PARK DRIVE SUITE 102 KNOXVILLE, TN 37922 | AFLAC | $3K | — | $3K | 3.41% |
| MATTHEW D BUTLER3 | 123 CENTER PARK DRIVE SUITE 102 KNOXVILLE, TN 37922 | AFLAC | $2K | — | $2K | 2.58% |
| CASEY A CURLEE3 | 123 CENTER PARK DRIVE SUITE 102 KNOXVILLE, TN 37922 | AFLAC | $2K | — | $2K | 2.23% |
| JAMES W WATSON3 Filed as: JAMES WATSON | 144 OVERTON LANE POWELL, TN 37849 | AFLAC | $1K | $6 | $1K | 1.61% |
| RICK WELTON3 | PO BOX 32715 KNOXVILLE, TN 37930 | AFLAC | $1K | — | $1K | 1.26% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES F HILL | 11350 GATES MILL DRIVE KNOXVILLE, TN 37934 | AFLAC | $713 | — | $713 | 0.80% |
| DANNY J HOLLOWAY3 | 525 WEST OAKLAND AVENUE SUITE 8 JOHNSON CITY, TN 37604 | AFLAC | $510 | $9 | $519 | 0.58% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: TIS INSURANCE SERVICES INC | 1900 WINSTON ROAD SUITE 100 KNOXVILLE, TN 37919 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 16.54% |
| THE MATHIS-HILL-ROBERTSON AGENCY3 Filed as: THE MATHIS HILL ROBERSTON AGENCY | 5040 ROSWELL ROAD ATLANTA, GA 30342 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $250 | — | $250 | 0.30% |
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 | 177 | 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) | 177 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 297 | $1.4M |
| Dental | DELTA DENTAL OF TENNESSEE | 273 | $91K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 297 | $1.4M |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 120 | $84K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 120 | $84K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 120 | $84K |
| Other(2 contracts, 2 carriers) | AFLAC | 160 | $174K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 297 | — |
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.