| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANIEL ROBERSON3 | 2670 UNION AVE STE 100 MEMPHIS, TN 38112 | BLUECROSS BLUESHIELD | $28K | $0 | $28K | 3.57% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGONBOTHAM INS AGENCY INC | 620 MARBY HOOD RD STE 201 KNOXVILLE, TN 37932 | UNITEDHEALTHCARE INSURANCE COMPANY | $30K | $0 | $30K | 37.21% |
| GROUP INSURANCE SERVICES INC3 | 1 CAMERON HILL CIRCLE 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $6K | $0 | $6K | 15.16% |
| HIGGINBOTHAM INS AGENCY INC3 | 500 W 13TH ST FT WORTH, TX 76102 | USABLE LIFE | $6K | $0 | $6K | 15.16% |
| DEBORAH SUSAN RIFFLE3 | 129 JIM BOB SCRUGGS RD HUMBOLDT, TN 38343 | AFLAC | $5K | $0 | $5K | 16.13% |
| DARIAN NULL3 | 248 GROOM AVE COVINGTON, TN 38019 | AFLAC | $2K | $0 | $2K | 5.30% |
| TIMOTHY CLENNEY3 | 267 RAMBLEWOOD DR JACKSON, TN 38305 | AFLAC | $722 | $0 | $722 | 2.47% |
| CHARLES HARTHUN3 | 1577 LAWSON RD CROSSVILLE, TN 38571 | AFLAC | $146 | $0 | $146 | 0.50% |
| ELIZABETH KATHLEEN BLAIR3 | 3179 CLUBVIEW CV N LAKELAND, TN 38002 | AFLAC | $125 | $0 | $125 | 0.43% |
| ARTHUR M PRIDDY3 | 214 LIBERTY RD JACKSON, TN 38305 | AFLAC | $33 | $0 | $33 | 0.11% |
| KATHRYN SUZANNE AXENTE3 | 7020 PELICAN ISLAND DR. TAMPA, FL 33634 | AFLAC | $31 | $0 | $31 | 0.11% |
| JOSHUA LEE JONES3 | 18032 DEERCLIFF CT GLENCOE, MO 63038 | AFLAC | $17 | $0 | $17 | 0.06% |
| BRENT GOODE3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $8 | $0 | $8 | 0.03% |
| NATHAN A JONES3 | 406 S STRADLING RD MUNCIE, IN 47304 | AFLAC | $8 | $0 | $8 | 0.03% |
| KIMBERLY MURRAY3 | 8530 WOODLANE DR GERMANTOWN, TN 38138 | AFLAC | $3 | $0 | $3 | 0.01% |
| AMY B CITRON3 Filed as: AMY CITRON | 1024 GRANADA AVE NASHVILLE, TN 37206 | AFLAC | $3 | $0 | $3 | 0.01% |
| JAY OLEARY3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $2 | $0 | $2 | 0.01% |
| JOSEPH LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $2 | $0 | $2 | 0.01% |
| MP JONES & ASSOCIATES3 | 13846 ATLANTIC BLVD APT 101 JACKSONVILLE, FL 32225 | AFLAC | $1 | $0 | $1 | 0.00% |
| TAMI S GILL3 Filed as: TAMI GILL | 53 MICHELLE DR BRIGHTON, TN 38011 | AFLAC | $1 | $0 | $1 | 0.00% |
| ROBERT GOBLE3 | 1410 4T STREET DR NW UNIT 208 HICKORY, NC 28601 | AFLAC | $0 | $0 | $0 | 0.00% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD | 103 | $825K |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 71 | $79K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 71 | $79K |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 71 | $79K |
| Other | USABLE LIFE | 36 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 103 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.