| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HANES TORBETT3 | 508 PRINCETON RD STE 102 JOHNSON CITY, TN 37601 | BLUECROSS BLUESHIELD OF TENNESSEE, INC | $64K | — | $64K | 3.88% |
| STEPHEN L FOSTER3 Filed as: STEPHEN L. FOSTER | PO BOX 4334 JOHNSON CITY, TN 37602 | AFLAC | $5K | $346 | $5K | 6.11% |
| JEFFREY GASTON COPELAND3 | 100 HARTSFIELD CENTER PKWY STE 500 ATLANTA, GA 30354 | AFLAC | $1K | — | $1K | 1.29% |
| RYAN DREBING3 Filed as: RYAN A. DREBING | 2112 N ROAN ST STE 702 JOHNSON CITY, TN 37601 | AFLAC | $964 | — | $964 | 1.08% |
| JACKSON D RHODES3 Filed as: JACKSON D. RHODES | 2332 VOLUNTEER PKWY BRISTOL, TN 37620 | AFLAC | $878 | $63 | $941 | 1.05% |
| MARK EDWARD CASE3 | 6821 WELLINGTON PL CASTLE PINES, CO 80108 | AFLAC | $578 | — | $578 | 0.65% |
| LYNN B HODGE3 Filed as: LYNN B. HODGE | 430 ALFALFA LN JONESBOROUGH, TN 37659 | AFLAC | $517 | — | $517 | 0.58% |
| AMANDA L MOORE RHODES3 Filed as: AMANDA MOORE RHODES | 327 CHARLTON CT BLUFF CITY, TN 37618 | AFLAC | $438 | $69 | $507 | 0.57% |
| BRIAN D ELY3 Filed as: BRIAN D. ELY | 2121 NEWMARKET PKWY SE STE 100 MARIETTA, GA 30067 | AFLAC | $476 | — | $476 | 0.53% |
| KEITH ANTHONY KLEINE3 | 2216 SPRUCEWOOD DR NW ACWORTH, GA 30101 | AFLAC | $253 | — | $253 | 0.28% |
| KIMBERLY STATEN3 Filed as: KIMBERLY B STATEN | PO BOX 8184 GRAY, TN 37615 | AFLAC | $218 | — | $218 | 0.24% |
| VBTN, INC3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $160 | — | $160 | 0.18% |
| CHARLES HOUGH3 Filed as: CHARLES C HOUGH | 162 SLATE HILL RD. TELEFORD, TN 37690 | AFLAC | $158 | — | $158 | 0.18% |
| EDWARDS TIPTON WITT AGENCY3 | PO BOX 747 KINGSPORT, TN 37662 | COLONIAL LIFE & ACCIDENT INSURANCE CO | $19 | — | $19 | 3.58% |
| KAREN TOBIAS3 | 1366 DUNRAVEN DR. MURFREESBORO, TN 37128 | COLONIAL LIFE & ACCIDENT INSURANCE CO | $2 | — | $2 | 0.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SAVERS ADMINISTRATIVE SERVICES EIN 57-1177739 SEC 125 ADMINSTR | Contract Administrator Service code 13 | — | $11K |
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 | 220 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 220 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC | 376 | $1.6M |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC | 376 | $1.6M |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC | 376 | $1.6M |
| Other(2 contracts, 2 carriers) | AFLAC | 104 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 376 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.