| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT A LEVY3 Filed as: ROBERT LEVY | 1600 DIVISION STREET SUITE 220 NASHVILLE, TN 37203 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $49K | — | $49K | 5.41% |
| PARADIGM GROUP3 | 1600 DIVISION STREET SUITE 220 NASHVILLE, TN 37203 | DELTA DENTAL OF TENNESSEE | $8K | — | $8K | 10.00% |
| JENNY LYNN LASATER3 | P.O. BOX 2413 LEBANON, TN 37088 | AFLAC | $858 | $89 | $947 | 4.79% |
| BROWNIE D HALL3 | 2225 LEEVILLE PIKE LEBANON, TN 37090 | AFLAC | $425 | — | $425 | 2.15% |
| PARADIGM GROUP3 Filed as: PARADIGM GROUP LLC | 1600 DIVISION STREET SUITE 220 NASHVILLE, TN 37203 | AFLAC | $420 | — | $420 | 2.13% |
| RICK R THORNE3 | 321 W MAIN STREET LEBANON, TN 37087 | AFLAC | $366 | — | $366 | 1.85% |
| KELSEY DAVID EVERT3 | 541 N MOUNT JULIET ROAD SUITE 2201A MOUNT JULIET, TN 37122 | AFLAC | $280 | $11 | $291 | 1.47% |
| THOMAS M WILLIAMSON3 | 88 ABBEY ROAD LEBANON, TN 37090 | AFLAC | $190 | — | $190 | 0.96% |
| DEBBIE A WHITENER3 | 1104 SOMERSET DR LEBANON, TN 37090 | AFLAC | $135 | — | $135 | 0.68% |
| JAIME HUTTON3 | 1195 OLD SHILOH ROAD GOODLETTSVILLE, TN 37072 | AFLAC | $124 | — | $124 | 0.63% |
| JULIE L TEMPLETON3 | 709 HELMSDALE PLACE SOUTH BRENTWOOD, TN 37027 | AFLAC | $100 | $17 | $117 | 0.59% |
| DAVID M CRUMLEY3 | 252 HERITAGE PARK DR STE 108 MURFREESBORO, TN 37129 | AFLAC | $98 | — | $98 | 0.50% |
| GARY W LOVELL3 | P.O. BOX 682146 FRANKLIN, TN 37068 | AFLAC | $94 | — | $94 | 0.48% |
| DAVID M CRUMLEY3 Filed as: DAVID CRUMLEY | 101 GILLESPIE DRIVE APT 8204 FRANKLIN, TN 37067 | AFLAC | $71 | $17 | $88 | 0.45% |
| SEWELL AND ASSOCIATES INC3 | 1055 MISTY LAKE DR LEBANON, TN 37087 | AFLAC | $71 | — | $71 | 0.36% |
| VBTN, INC3 Filed as: VBTN, INC. | 301 MALLORY STATION ROAD SUITE 100 FRANKLIN, TN 37067 | AFLAC | $48 | $21 | $69 | 0.35% |
| LARA K GRANDE3 | 1022 WESTHAVEN BLVD FRANKLIN, TN 37064 | AFLAC | $42 | $7 | $49 | 0.25% |
| ASSUREDPARTNERS3 Filed as: ASSURED NL INSURANCE AGENCY INC. | 4000 SMITH ROAD SUITE 400 CINCINNATI, OH 45209 | AFLAC | $46 | — | $46 | 0.23% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LN FRANKLIN, TN 37067 | AFLAC | $40 | — | $40 | 0.20% |
| WAYNE E BURTON3 | 433 SOUTH PLANTATION DRIVE COOKEVILLE, TN 38506 | AFLAC | $37 | — | $37 | 0.19% |
| JAMES G MCALISTER3 Filed as: JAMES CHAFFIN | 5420 WAKEFIELD NASHVILLE, TN 37220 | AFLAC | $33 | — | $33 | 0.17% |
| EVERETT C BICKEL3 | 16585 LAUREL HILL ROAD SILVERPOINT, TN 38582 | AFLAC | $32 | — | $32 | 0.16% |
| CHAD M DEVINE3 | 6204 TUCKALEECHEE LN ANTIOCH, TN 37013 | AFLAC | $25 | $3 | $28 | 0.14% |
| LESLIE H SILTMAN3 | 207 MOORE DR BATESVILLE, MS 38606 | AFLAC | $24 | — | $24 | 0.12% |
| WILLIAM D HEYDEL3 | 524 CROWELL LANE LEBANON, TN 37087 | AFLAC | $23 | — | $23 | 0.12% |
| JON R OVERACRE3 | 4731 TROUSDALE DR SUITE 10 NASHVILLE, TN 37220 | AFLAC | $16 | $3 | $19 | 0.10% |
| JOHN H SEWELL3 | 1933 SHENANDOAH TRAIL LEBANON, TN 37087 | AFLAC | $17 | — | $17 | 0.09% |
| GARTH KEMP3 | 21 MOSS FOREST CIR JACKSON, MS 39211 | AFLAC | $16 | — | $16 | 0.08% |
| BRENT L GOODE3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $15 | — | $15 | 0.08% |
| JOAN SANDERS3 | P.O. BOX 327 PULASKI, TN 38478 | AFLAC | $13 | — | $13 | 0.07% |
| RICHARD D HEYDEL3 | 1921 OLD HICKORY BLVD BRENTWOOD, TN 37027 | AFLAC | $11 | — | $11 | 0.06% |
| ALAN W MARTIN3 | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $10 | — | $10 | 0.05% |
| RONALD A DASHKOVITZ3 | 20 MILLPOND TRL SAGINAW, MI 48603 | AFLAC | $9 | — | $9 | 0.05% |
| DAVID B RAY3 | 5122 STONEWOOD DR SMYRNA, TN 37167 | AFLAC | $9 | — | $9 | 0.05% |
| ROBERT A LEVY3 | 1600 DIVISION STREET SUITE 220 NASHVILLE, TN 37203 | AFLAC | $6 | — | $6 | 0.03% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $5 | — | $5 | 0.03% |
| NOLAN DOYLE MCCUE3 | 541 N MOUNT JULIET ROAD STE 2201A MOUNT JULIET, TN 37122 | AFLAC | $4 | — | $4 | 0.02% |
| KANDI M MCINTYRE3 | 2000 MALLORY LANE SUITE 130-378 FRANKLIN, TN 37067 | AFLAC | $3 | — | $3 | 0.02% |
| PARADIGM GROUP3 Filed as: PARADIGM GROUP, LLC | 1600 DIVISION STREET SUITE 220 NASHVILLE, TN 372032772 | VISION SERVICE PLAN | $936 | — | $936 | 6.15% |
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 | 163 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 169 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 215 | $902K |
| Dental | DELTA DENTAL OF TENNESSEE | 197 | $78K |
| Vision | VISION SERVICE PLAN | 89 | $15K |
| Other | AFLAC | 43 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 215 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.