| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LARRY SPROUSE3 | PO BOX 1977 DUNLAP, TN 37327 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $64K | — | $64K | 3.89% |
| ALEX C BURTON | 1309 HOWELL LN COOKEVILLE, TN 38506 | AFLAC | $3K | $146 | $3K | 9.93% |
| STACY E BURTON | 4083 CHARLTON SQ COOKEVILLE, TN 38501 | AFLAC | $519 | — | $519 | 1.82% |
| ROBERT EDWARD HARDWICK | 120 LAKEWOOD DR CROSSVILLE, TN 38558 | AFLAC | $428 | $29 | $457 | 1.60% |
| EVERETT C BICKEL | 6310 SW 103RD LN OCALA, FL 34476 | AFLAC | $299 | — | $299 | 1.05% |
| MATTHEW D BUTLER | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $150 | $30 | $180 | 0.63% |
| VBTN, INC | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $128 | $29 | $157 | 0.55% |
| CHARLES HARTHUN Filed as: CHARLES B HARTHUN | 1577 LAWSON RD CROSSVILLE, TN 38571 | AFLAC | $155 | — | $155 | 0.54% |
| OSCAR LYNN BOYD | 255 N DAYHILL RD HARVEST, AL 35749 | AFLAC | $96 | — | $96 | 0.34% |
| ABBIE W COFFMAN | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $79 | — | $79 | 0.28% |
| KELSEY DAVID EVERT | 2055 N MOUNT JULIET RD STE 201 MOUNT JULIET, TN 37122 | AFLAC | $69 | — | $69 | 0.24% |
| ALAN W MARTIN | 12524 MALLARD BAY DR KNOXVILLE, TN 37922 | AFLAC | $68 | — | $68 | 0.24% |
| BRENT L GOODE | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $45 | — | $45 | 0.16% |
| CARL BURTON | 3617 BURTON COVE RD COOKEVILLE, TN 38501 | AFLAC | $38 | — | $38 | 0.13% |
| COLEMAN R WALKER | 106 WEBSTER ST PLAZA CENTER LEBANON, TN 37087 | AFLAC | $30 | — | $30 | 0.11% |
| MARK WAYNE SPRADLING | 11 S JEFFERSON AVE STE A COOKEVILLE, TN 38501 | AFLAC | $20 | — | $20 | 0.07% |
| DAVID M CRUMLEY | 5111 MARYLAND WAY STE 210 BRENTWOOD, TN 37027 | AFLAC | $16 | — | $16 | 0.06% |
| DOYLE S BURTON | PO BOX 695 COOKEVILLE, TN 38503 | AFLAC | $15 | — | $15 | 0.05% |
| ROBERT W ARCHER | PO BOX 2028 COOKEVILLE, TN 38502 | AFLAC | $13 | — | $13 | 0.05% |
| LESLIE H SILTMAN | 207 MOORE DR BATESVILLE, MS 38606 | AFLAC | $10 | — | $10 | 0.04% |
| DEBBIE A WHITENER | 1104 SOMERSET DR LEBANON, TN 37090 | AFLAC | $10 | — | $10 | 0.04% |
| WAYNE E BURTON | 433 SOUTH PLANTATION DRIVE COOKEVILLE, TN 38506 | AFLAC | $10 | — | $10 | 0.04% |
| ALAN W MARTIN | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $9 | — | $9 | 0.03% |
| JOSHUA LEE JONES | 1307 CAMPANIA NEW BRANFELS, TX 78132 | AFLAC | $7 | — | $7 | 0.02% |
| GARY W LOVELL | PO BOX 682146 FRANKLIN, TN 37068 | AFLAC | $6 | — | $6 | 0.02% |
| DEBBIE A WHITENER | 326 LEBANON HWY CARTHAGE, TN 37030 | AFLAC | $5 | — | $5 | 0.02% |
| RONALD E KIRKLAND | 1044 HARBOR RIDGE RD GUNTERSVILLE, AL 35976 | AFLAC | $4 | — | $4 | 0.01% |
| RICHARD D HEYDEL | 1921 OLD HICKORY BLVD BRENTWOOD, TN 37027 | AFLAC | $4 | — | $4 | 0.01% |
| RONALD H RICHEY | 4023 LAURAWOOD LN FRANKLIN, TN 37067 | AFLAC | $2 | — | $2 | 0.01% |
| GROUP INSURANCE SERVICES INC Filed as: GROUP INSURANCE SERVICES, INC. | 1 CAMERON HILL CIRCLE 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $2K | $292 | $2K | 13.54% |
| LARRY SPROUSE | PO BOX 1977 DUNLAP, TN 37327 | USABLE LIFE | $729 | — | $729 | 5.00% |
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 | 201 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 201 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 238 | $1.6M |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 238 | $1.6M |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 238 | $1.6M |
| Life insurance | USABLE LIFE | 207 | $15K |
| Short-term disability | USABLE LIFE | 207 | $15K |
| Prescription drug | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 238 | $1.6M |
| Other | AFLAC | 54 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 238 | — |
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."
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.