| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVID MASSEY3 | 6 CADILLAC DRIVE SUITE 200 BRENTWOOD, TN 37027 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $99K | — | $99K | 4.30% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF TENNESSEE INC | 6 CADILLAC DRIVE SUITE 200 BRENTWOOD, TN 37027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $3K | $10K | 14.99% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF TENNESSEE INC | 6 CADILLAC DRIVE SUITE 200 BRENTWOOD, TN 37027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $3K | $10K | 14.93% |
| JENNY LYNN LASATER3 | PO BOX 2413 LEBANON, TN 37088 | AFLAC | $4K | $39 | $4K | 6.46% |
| BRIAN TOLBERT3 | 2817 WEST END AVENUE SUITE 126281 NASHVILLE, TN 37203 | AFLAC | $1K | — | $1K | 2.16% |
| ANDREW JACKSON JR3 Filed as: ANDREW H JACKSON JR | PO BOX 155 GRAFTON, IL 62037 | AFLAC | $1K | — | $1K | 2.08% |
| KELSEY DAVID EVERT3 | 2055 NORTH MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37122 | AFLAC | $664 | $8 | $672 | 1.10% |
| THOMAS M WILLIAMSON3 | 129 WATERS HILL CIRCLE LEBANON, TN 37087 | AFLAC | $585 | $8 | $593 | 0.97% |
| THOMAS M WILLIAMSON3 | 2055 NORTH MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37122 | AFLAC | $469 | — | $469 | 0.77% |
| GARY A EBERLIN3 | 3415 MAPLE RIDGE DRIVE WOOD RIVER, IL 62095 | AFLAC | $387 | — | $387 | 0.63% |
| MARIAN E HENDERSON3 | 102 SAVANNAH WAY HENDERSONVILLE, TN 37075 | AFLAC | $383 | — | $383 | 0.63% |
| DAVID M CRUMLEY3 Filed as: DAVID M CRULEY | 5111 MARYLAND WAY SUITE 210 BRENTWOOD, TN 37027 | AFLAC | $331 | — | $331 | 0.54% |
| KATHERINE R DODD3 | 120 TWIN OAKS DRIVE #D MADISON, MS 39110 | AFLAC | $283 | — | $283 | 0.46% |
| MITCHELL J MCCALL3 | 3 STONERIDGE DRIVE KEOKUK, IA 52632 | AFLAC | $168 | — | $168 | 0.27% |
| JOSHUA LEE JONES3 | 1307 CAMPANIA NEW BRAUNFELS, TX 78132 | AFLAC | $126 | — | $126 | 0.21% |
| ALBERT WELCH III3 Filed as: ALBERT J WELCH III | 4209 LAKELAND DRIVE 369 FLOWOOD, MS 39232 | AFLAC | $123 | — | $123 | 0.20% |
| KRISTY GRAMLICH INC3 | 455 SOUTH SAM BARR DRIVE SUITE 205 KEARNEY, MO 64060 | AFLAC | $112 | — | $112 | 0.18% |
| JAMES H KING3 Filed as: JAMES ANTHONY DODD | 120 TWIN OAKS DRIVE MADISON, MS 39110 | AFLAC | $91 | $18 | $109 | 0.18% |
| JOHN THOMAS3 Filed as: JOHN L THOMAS | 2907 CHAUCER DRIVE MURFREESBORO, TN 37129 | AFLAC | $100 | — | $100 | 0.16% |
| BRENT L GOODE3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $98 | — | $98 | 0.16% |
| JOHN M MCSWAIN3 | 744 CLOVER RIDGE WAY BRANDON, MS 39047 | AFLAC | $52 | — | $52 | 0.09% |
| RENESHIA S HOBSON3 | 716 FOREST WOODS DRIVE BYRAM, MS 39272 | AFLAC | $52 | — | $52 | 0.09% |
| AON CONSULTING INC3 Filed as: C HEWITT INC | 308 LAKE VILLAGE DRIVE MADISON, MS 39110 | AFLAC | $44 | $4 | $48 | 0.08% |
| JEREMIAH TROY TALTON3 | 309 NEW POINTE SUITE B RIDGELAND, MS 39157 | AFLAC | $45 | — | $45 | 0.07% |
| JAY S OLEARY3 | 1802 EAVES COURT NOLENSVILLE, TN 37135 | AFLAC | $43 | — | $43 | 0.07% |
| K GRAMLICH INC3 | 455 SOUTH SAM BARR DRIVE SUITE 205 KEARNEY, MO 64060 | AFLAC | $42 | — | $42 | 0.07% |
| RENESHIA S HOBSON3 | 100 WINTERBURY DRIVE MADISON, MS 39110 | AFLAC | $38 | $4 | $42 | 0.07% |
| TY D MAYBERRY3 | 8451 RED OAK DRIVE GERALD, MO 63037 | AFLAC | $36 | — | $36 | 0.06% |
| JOSEPH L LEDOUX3 | 2411 CARTER AVENUE NASHVILLE, TN 37206 | AFLAC | $34 | — | $34 | 0.06% |
| MELISSA JONES AND ASSOCIATES LLC3 | 103 PENNANT DRIVE WASHINGTON, MO 63090 | AFLAC | $33 | — | $33 | 0.05% |
| JEREMY S KLOKKENGA3 | 1355 NORTH BLUFF ROAD SUITE A COLLINSVILLE, IL 62234 | AFLAC | $33 | — | $33 | 0.05% |
| JEREMY S KLOKKENGA3 | 48 PHEASANT TRAIL GLEN CARBON, IL 62034 | AFLAC | $28 | — | $28 | 0.05% |
| JASON MULL3 | 1220 CHICKEN ROAD LEBANON, TN 37090 | AFLAC | $25 | — | $25 | 0.04% |
| STEVEN H STEINHAUER3 | PO BOX 817 HENDERSONVILLE, TN 37077 | AFLAC | $22 | — | $22 | 0.04% |
| EVERETT C BICKEL3 | 6310 SOUTHWEST 103RD LANE OCALA, FL 34476 | AFLAC | $21 | — | $21 | 0.03% |
| VBTN, INC3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $20 | — | $20 | 0.03% |
| LARA K GRANDE3 | 117 MORNING MIST LANE FRANKLIN, TN 37064 | AFLAC | $18 | — | $18 | 0.03% |
| TRAVIS COCKBURN3 Filed as: TRAVIS J COCKBURN | 402 NORTH MAIN STREET BENTON, IL 62812 | AFLAC | $18 | — | $18 | 0.03% |
| PHILIP LYNN3 | 905 DIVISION STREET CHARLESTON, IA 61920 | AFLAC | $17 | — | $17 | 0.03% |
| THOMAS J PITZENBERGER3 | 1501 SUGARLAND PARKWAY PLEASANT HILL, MO 64080 | AFLAC | $14 | — | $14 | 0.02% |
| D AND V BUTLER INC3 | 105 LONG LEAF PLACE MADISON, MS 39110 | AFLAC | $14 | — | $14 | 0.02% |
| JANE E TUCKER3 | PO BOX 2825 SHELBYVILLE, TN 37162 | AFLAC | $14 | — | $14 | 0.02% |
| RONALD E KIRKLAND3 | 1044 HARBOR RIDGE ROAD GUNTERSVILLE, AL 35976 | AFLAC | $12 | — | $12 | 0.02% |
| JUSTIN SCHADE3 | 128 CHARLTON DRIVE MADISON, MS 39110 | AFLAC | $11 | — | $11 | 0.02% |
| TIFFANY S HERMSEN3 | 2404 NORTHEAST 79TH PLACE KANSAS CITY, MO 64118 | AFLAC | $10 | — | $10 | 0.02% |
| ALEXANDER I MIRO3 | 6005 HIDDEN VALLEY ROAD SUITE 150 CARLSBAD, CA 92011 | AFLAC | $10 | — | $10 | 0.02% |
| DAVID PRATHER3 | 448 WASHINGTON STREET SUITE A CHILLICOTHE, MO 64601 | AFLAC | $6 | — | $6 | 0.01% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $5 | — | $5 | 0.01% |
| SEWELL AND ASSOCIATES INC3 | 1055 MISTY LAKE DRIVE LEBANON, TN 37087 | AFLAC | $5 | — | $5 | 0.01% |
| CARLA T WITHERINGTON3 | 1405 HERRING DRIVE COVINGTON, TN 38019 | AFLAC | $5 | — | $5 | 0.01% |
| RANDALL D LADNER3 | 6 GREENBRIAR DRIVE GULFPORT, MS 39507 | AFLAC | $4 | — | $4 | 0.01% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | AFLAC | $4 | — | $4 | 0.01% |
| JOANNA G MATHERLY3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $4 | — | $4 | 0.01% |
| JASON HOFFARD3 | 3415 OFFICE PARK DRIVE SUITE C MARION, IL 62959 | AFLAC | $4 | — | $4 | 0.01% |
| KANDI H HECKLER3 | 5453 HASELL DRIVE ROCKVALE, TN 37153 | AFLAC | $4 | — | $4 | 0.01% |
| MARTHA MONCKTON3 | 2411 EAST GRANDVIEW AVENUE PEORIA, IL 61614 | AFLAC | $4 | — | $4 | 0.01% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LANE FRANKLIN, TN 37067 | AFLAC | $3 | — | $3 | 0.00% |
| GEISLER INCORPORATED3 | 1795 CLARKSON ROAD SUITE 301 CHESTERFIELD, MO 63017 | AFLAC | $3 | — | $3 | 0.00% |
| PETER B WILKINSON JR3 | 1408 LANCELOT AVENUE WOLFFORTH, TX 79382 | AFLAC | $2 | — | $2 | 0.00% |
| DALE I DAVIS3 | 1856 TRAVELLER ROAD LEXINGTON, KY 40504 | AFLAC | $2 | — | $2 | 0.00% |
| LARA K GRANDE3 | 1022 WESTHAVEN BOULEVARD FRANKLIN, TN 37064 | AFLAC | $2 | — | $2 | 0.00% |
| VICKI M BUTLER3 | 105 LONG LEAF PLACE MADISON, MS 39110 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN A BACON3 | 13716 PARKHILL OVERLAND PARK, KS 66221 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN MYERS3 | 81 GRAND MERIDIEN FOREST CHESTERFIELD, MO 63005 | AFLAC | $1 | — | $1 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF TENNESSEE INC | 6 CADILLAC DRIVE SUITE 200 BRENTWOOD, TN 37027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $3K | $9K | 14.78% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF TENNESSEE INC | 6 CADILLAC DRIVE SUITE 200 BRENTWOOD, TN 37027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $581 | $2K | 14.75% |
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 | 494 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 496 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 654 | $2.3M |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 654 | $2.3M |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 654 | $2.3M |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 496 | $76K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 185 | $70K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 239 | $59K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 496 | $137K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 654 | — |
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.