| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CRAIG WRIGHT3 | 2670 UNION AVE STE 200 MEMPHIS, TN 38112 | BLUECROSS BLUESHIELD OF TENNESSEE INC | $13K | — | $13K | 2.83% |
| DAVID M. GEARHARDT3 Filed as: DAVID BISHOP | 606 S MENDENHALL STE 200 MEMPHIS, TN 38117 | BLUECROSS BLUESHIELD OF TENNESSEE INC | $11K | — | $11K | 2.37% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INSURANCE | 2670 UNION AVENUE EXT STE 100 MEMPHIS, TN 38112 | DELTA DENTAL OF TENNESSEE | $4K | — | $4K | 5.74% |
| JAS D COLLIER & CO3 Filed as: JAS D COLLIER & COMPANY | 606 SOUTH MENDENHALL STE 200 MEMPHIS, TN 38117 | DELTA DENTAL OF TENNESSEE | $1K | — | $1K | 1.76% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INSURANCE | 2670 UION AVE STE 200 MEMPHIS, TN 38112 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 10.12% |
| JAS D COLLIER & CO3 | 606 MENDENHALL RD STE 200 MEMPHIS, TN 38117 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 4.88% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INSURANCE | 2670 INION AVE STE 200 MEMPHIS, TN 38112 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 14.42% |
| JAS D COLLIER & CO3 | 606 S MENDENHALL RD STE 200 MEMPHIS, TN 38117 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $669 | — | $669 | 3.00% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INSURANCE | 2670 UNION AVE STE 200 MEMPHIS, TN 38112 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 10.13% |
| JAS D COLLIER & CO3 Filed as: JAS D. COLLIER & COMPANY | 606 S. MENDENHALL SUITE 200 MEMPHIS, TN 38125 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $914 | — | $914 | 4.87% |
| LIPSCOMB & PITTS INSURANCE LLC3 | 2670 UNION AVENUE EXT STE 200 MEMPHIS, TN 38112 | VISION SERVICE PLAN | $537 | — | $537 | 4.24% |
| JAS D COLLIER & CO3 | 606 S MENDENHALL RD STE 200 MEMPHIS, TN 38117 | VISION SERVICE PLAN | $308 | — | $308 | 2.43% |
| DEBORAH W HULETTE3 | 8317 CORDOVA RD STE 201 CORDOVA, TN 38016 | CONTINENTAL AMERICAN INSURANCE COMPANY | $662 | — | $662 | 9.06% |
| JAS D COLLIER & CO3 | 606 S MENDENHALL SUITE 200 MEMPHIS, TN 38117 | CONTINENTAL AMERICAN INSURANCE COMPANY | $425 | — | $425 | 5.82% |
| TAMI S GILL3 | 53 MICHELLE COVE BRGHTON, TN 38011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $138 | — | $138 | 1.89% |
| QUINTON J MILES3 | PO BOX 17163 MEMPHIS, TN 38187 | CONTINENTAL AMERICAN INSURANCE COMPANY | $134 | — | $134 | 1.83% |
| HOWARD EATON3 | 429 SPRUCE GLEN DR CORDOVA, TN 38018 | CONTINENTAL AMERICAN INSURANCE COMPANY | $113 | — | $113 | 1.55% |
| KATHRYN SUZANNE AXENTE3 Filed as: KATHRYN S AXENTE | 8313 W HILLSBOROUGH AVE STE 150 TAMPA, FL 33615 | CONTINENTAL AMERICAN INSURANCE COMPANY | $62 | — | $62 | 0.85% |
| JAMES D DUDLEY3 | 3061 EDGEWOOD CT COLUMBUS, GA 31907 | CONTINENTAL AMERICAN INSURANCE COMPANY | $55 | — | $55 | 0.75% |
| VBTN, INC3 | 2000 GLEN ECHO ROAD STE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $33 | — | $33 | 0.45% |
| JAY S OLEARY3 Filed as: JAY S O'LEARY | 301 MALLORY STATION RD STE 100 FRANKLIN, TN 37067 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.14% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.07% |
| JOANNA G MATHERLY3 Filed as: JOANNA G PEOPLE | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.07% |
| JAS D COLLIER & CO3 | 606 MENDENHALL RD STE 200 MEMPHIS, TN 38117 | MONUMENTAL LIFE INSURANCE COMPANY | $277 | — | $277 | 7.49% |
| LIPSCOMB & PITTS INSURANCE LLC3 Filed as: LIPSCOMB & PITTS INSURANCE | 2670 UNION AVE STE 200 MEMPHIS, TN 38112 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $251 | — | $251 | 10.07% |
| JAS D COLLIER & CO3 | 606 S MENDENHALL RD STE 200 MEMPHIS, TN 38117 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $123 | — | $123 | 4.94% |
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 | 137 | 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) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE INC | 118 | $464K |
| Dental | DELTA DENTAL OF TENNESSEE | 227 | $78K |
| Vision | VISION SERVICE PLAN | 90 | $13K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 227 | $36K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 227 | $22K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 227 | $19K |
| Other(3 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 227 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.