| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN B GREENBAUM3 | 160 FEDERAL STREET BOSTON, MA 02110 | BLUERE OF TENNESSEE | $0 | $565K | $565K | 84.75% |
| JOHN B GREENBAUM3 | 160 FEDERAL STREET BOSTON, MA 02110 | BLUERE OF TENNESSEE | $79K | $0 | $79K | 11.88% |
| NAVITUS HEALTH5 | NOT PROVIDED UNKNOWN, MA 02110 | BLUERE OF TENNESSEE | $0 | $39K | $39K | 5.84% |
| JOHN B GREENBAUM3 | 160 FEDERAL STREET BOSTON, MA 02110 | BLUERE OF TENNESSEE | $13K | $0 | $13K | 1.97% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET 4TH FLOOR BOSTON, MA 02110 | BLUERE OF TENNESSEE | $8K | $0 | $8K | 1.18% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC | 160 FEDERAL STREET BOSTON, MA 02110 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $18K | $0 | $18K | 14.99% |
| EMERSON REID LLC3 | 1787 SENTRY PKWY W VEVA 16 BLUE BELL, PA 19422 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 2.55% |
| SELMAN & COMPANY, LLC3 | ONE INTEGRITY PARKWAY CLEVELAND, OH 44143 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 2.45% |
| VARIOUS - SEE ATTACHED3 Filed as: VARIOUS BROKERS - (SEE ATTACHED) | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $58K | $20K | $79K | 76.03% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 160 FEDERAL STREET BOSTON, MA 02110 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 3.65% |
| SELMAN & COMPANY, LLC3 | ONE INTEGRITY PARKWAY CLEVELAND, OH 44143 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.57% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W.VEVA 16 BLUE BELL, PA 19422 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.42% |
| JOHN B GREENBAUM3 | 160 FEDERAL STREET BOSTON, MA 02110 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $9K | $0 | $9K | 10.13% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET BOSTON, MA 02110 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $8K | $0 | $8K | 9.04% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC | 160 FEDERAL STREET BOSTON, MA 02110 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $0 | $5K | 7.75% |
| SELMAN & COMPANY, LLC3 | ONE INTEGRITY PARKWAY CLEVELAND, OH 44143 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.65% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W.VEVA 16 BLUE BELL, PA 19422 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 2.34% |
| RSC INSURANCE BROKERAGE INC4 | 160 FEDERAL ST BOSTON, MA 02110 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $2K | $0 | $2K | 17.00% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC | 160 FEDERAL STREET BOSTON, MA 02110 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 14.96% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W.VEVA 16 BLUE BELL, PA 19422 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $244 | $0 | $244 | 2.56% |
| SELMAN & COMPANY, LLC3 | ONE INTEGRITY PARKWAY CLEVELAND, OH 44143 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $230 | $0 | $230 | 2.42% |
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 | 537 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 30 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 568 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 964 | $87K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 964 | $87K |
| Life insurance(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 279 | $319K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 102 | $103K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 279 | $59K |
| Stop-loss / reinsurancereinsurance | BLUERE OF TENNESSEE | 1,063 | $667K |
| Other(4 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 279 | $219K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,063 | — |
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.