| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEE ATTACHED3 | 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $8K | $130 | $8K | 14.43% |
| JOAN TAYLOR3 Filed as: JOAN E TAYLOR | 400 W MAIN STREET SUITE 303A MORRISTOWN, TN 37814 | CONTINENTAL AMERICAN INSURANCE COMPANY | $548 | — | $548 | 7.07% |
| JAMES C FARMER JR3 Filed as: JAMES C. FARMER JUNIOR | 641 OLD HICKORY BOULEVARD, UNIT 60 BRENTWOOD, TN 37027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $195 | — | $195 | 2.52% |
| JACKSON D RHODES3 Filed as: JACKSON RHODES | 2332 VOLUNTEER PKWY BRISTOL, TN 37620 | CONTINENTAL AMERICAN INSURANCE COMPANY | $149 | — | $149 | 1.92% |
| EMMETT HAWKINS3 Filed as: EMMETT M HAWKINS | P.O. BOX ABINGDON, VA 24212 | CONTINENTAL AMERICAN INSURANCE COMPANY | $96 | — | $96 | 1.24% |
| CHARLES HOUGH3 Filed as: CHARLES C. HOUGH | 575 SAND RIDGE CIRCLE JONESBOROUGH, TN 37659 | CONTINENTAL AMERICAN INSURANCE COMPANY | $50 | — | $50 | 0.65% |
| BRENT L GOODE3 | 2000 GLEN ECHO RD SUITE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | — | $46 | 0.59% |
| BRIAN BROYLES3 Filed as: BRIAN B. BROYLES | 1551 EAST JACKSON BOULEVARD JONESBOROUGH, TN 37659 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.15% |
| JOSEPH L LEDOUX3 | 674 WATSON BRANCH DRIVE FRANKLIN, TN 37064 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.08% |
| JAY S OLEARY3 Filed as: JAY S O'LEARY | 301 MALLORY STATION RD SUITE 100 FRANKLIN, TN 37067 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.08% |
| VBTN, INC3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.05% |
| FALLON BENEFITS GROUP INC.3 Filed as: FALLON BENEFITS GROUP, INC. | 3060 PEACHTREE RD NW ATLANTA, GA 30305 | 1.800MD, LLC | $1K | — | $1K | 21.51% |
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 | 213 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 215 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | 1.800MD, LLC | 202 | $6K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 213 | $159K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 213 | $159K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 213 | $159K |
| Other(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 213 | $219K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 213 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.