| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WHITE & ASSOCIATES3 | 220 NORTH MAIN DYERSBURG, TN 38024 | COLONIAL LIFE | $371 | $10 | $381 | — |
| LINDA R MARCUM3 | 3339 N HIGHLAND AVE JACKSON, TN 38305 | COLONIAL LIFE | $174 | — | $174 | — |
| ROBERT E HIGDON3 | 1016 VENUS DRIVE LAWRENCEBURG, KY 40342 | COLONIAL LIFE | $91 | — | $91 | — |
| JOHN R JOHN3 | 948 REDDOCH COVE MEMPHIS, TN 38119 | COLONIAL LIFE | $72 | $2 | $74 | — |
| J SHANNON SHEPPARD3 | 4279 MELWOOD OAK DRIVE LAKELAND, TN 38002 | COLONIAL LIFE | $61 | $5 | $66 | — |
| JOSEPH L GREENE3 Filed as: JOSEPH L. GREENE | 7443 POPLAR PIKE GERMANTOWN, TN 38138 | COLONIAL LIFE | $55 | $4 | $59 | — |
| BETTY C HAYNES3 | 3339 N HIGHLAND AVE JACKSON, TN 38305 | COLONIAL LIFE | $47 | — | $47 | — |
| KENNETH CARPENTER3 | 671 WHEATLEY COVE COLLIERVILLE, TN 38017 | COLONIAL LIFE | $25 | — | $25 | — |
| MARK HOLLAND3 | P.O. BOX 38366 GERMANTOWN, TN 38183 | COLONIAL LIFE | $10 | — | $10 | — |
| NFMS OF MEMPHIS LLC3 | 1770 KIRBY PRKWAY STE 400 MEMPHIS, TN 38138 | PRINCIPAL LIFE INSURANCE COMPANY | $15K | — | $15K | — |
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 | 418 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 418 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 234 | $0 |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 234 | $0 |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE | 234 | $0 |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 234 | $0 |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 234 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 234 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.