| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 250 W 1ST STREET SUITE 100 WINSTON-SALEM, NC 27101 | USABLE LIFE | — | $1K | $1K | 2.50% |
| TODD R EATON3 Filed as: TODD R. EATON | 6971 HEARTHSIDE CV MEMPHIS, TN 38119 | AFLAC | $592 | — | $592 | 3.14% |
| CAROLYN H BOLIN3 Filed as: CAROLYN H. BOLIN | 5284 SUMMER WIND LANE ARLINGTON, TN 38002 | AFLAC | $577 | — | $577 | 3.06% |
| JONATHAN L PENNINGTON3 Filed as: JONATHAN L. PENNINGTON | 1154 RAVENNA CV COLLIERVILLE, TN 38017 | AFLAC | $479 | — | $479 | 2.54% |
| QUINTON J MILES3 Filed as: QUINTON J. MILES | P.O. BOX 22434 CHARLESTON, SC 29413 | AFLAC | $123 | — | $123 | 0.65% |
| TIMOTHY J REED3 Filed as: TIMOTHY S. INGRAM | 1731 MOUNT ZION ROAD JACKSONVILLE, IL 62650 | AFLAC | $108 | — | $108 | 0.57% |
| DAVID L KLEVAN3 Filed as: DAVID KLEVAN | P.O. BOX 38219 GERMANTOWN, TN 38183 | AFLAC | $5 | — | $5 | 0.03% |
| PAMELA W EZZELL3 | 2947 CHERRYBANK CT HERMITAGE, TN 37076 | AFLAC | $4 | — | $4 | 0.02% |
| SEWELL AND ASSOCIATES INC3 Filed as: SEWELL & ASSOCIATES INC | 1055 MISTY LAKE DRIVE LEBANON, TN 37087 | AFLAC | $3 | — | $3 | 0.02% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | AFLAC | $3 | — | $3 | 0.02% |
| JOANNA G MATHERLY3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $3 | — | $3 | 0.02% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: RONALD F BROWN | 5150 BAY TOWN CONWAY, AR 72034 | AFLAC | $2 | — | $2 | 0.01% |
| AMY B CITRON3 Filed as: AMY CITRON | 1024 GRANADA AVENUE NASHVILLE, TN 37206 | AFLAC | $2 | — | $2 | 0.01% |
| BRADLEY BOLICK3 | 6433 FALL BRANCH DRIVE COLUMBUS, GA 31904 | AFLAC | $2 | — | $2 | 0.01% |
| TONYA SUE ELMORE3 | 1930 HIGHWAY 71E MANSFIELD, AR 72944 | AFLAC | $2 | — | $2 | 0.01% |
| RONALD H RICHEY3 | 4499 MURFREESBORO ROAD FRANKLIN, TN 37067 | AFLAC | $1 | — | $1 | 0.01% |
| CHARLES L CHANCELLOR3 | 903 WEATHERFORD DRIVE BENTON, AR 72015 | AFLAC | $1 | — | $1 | 0.01% |
| KEITH R MOORE3 | 135 WALNUT CREEK ROAD SUITE 204 CORDOVA, TN 38018 | AFLAC | $1 | — | $1 | 0.01% |
| ROGER MURRAY JOHNSON3 | 5936 ENCLAVE DRIVE MURFREESBORO, TN 37128 | AFLAC | $1 | — | $1 | 0.01% |
| MCGRIFF INSURANCE SERVICES INC3 | 6000 POPLAR AVENUE SUITE 300 MEMPHIS, TN 38119 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $338 | $338 | 2.36% |
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 | 190 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | BLUECROSS BLUE SHIELD OF TENNESSEE, INC. | 398 | $17K |
| Life insurance | USABLE LIFE | 200 | $43K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 200 | $14K |
| Other(2 contracts, 2 carriers) | USABLE LIFE | 200 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 398 | — |
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."
No prospect flags tripped on this filing.