| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT A LEVY3 | 1600 DIVISION STREET SUITE 420 NASHVILLE, TN 37203 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $37K | — | $37K | 5.84% |
| JAMIE M HUTTON3 | 1893 HIGHWAY 25 GALLATIN, TN 37066 | AFLAC | $1K | $260 | $1K | 5.85% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SOUTHEAST SUITE 1950 ATLANTA, GA 30339 | AFLAC | $1K | — | $1K | 4.97% |
| KELSEY DAVID EVERT3 | 2055 NORTH MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37122 | AFLAC | $446 | $59 | $505 | 2.22% |
| ANASTASIA MODLIN3 Filed as: ANASTASIA ELAINE MODLIN | 312 FOUNTAIN HEAD ROAD PORTLAND, TN 37148 | AFLAC | $351 | $39 | $390 | 1.71% |
| MARIAN E HENDERSON3 | 102 SAVANNAH WAY HENDERSONVILLE, TN 37075 | AFLAC | $365 | — | $365 | 1.60% |
| JAMES C FARMER JR3 | 641 OLD HICKORY BOULEVARD UNIT 60 BRENTWOOD, TN 37027 | AFLAC | $213 | $21 | $234 | 1.03% |
| THOMAS M WILLIAMSON3 | 2055 NORTH MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37122 | AFLAC | $209 | — | $209 | 0.92% |
| H BRIAN GIBSON3 | 240 WILSON PIKE CIRCLE SUITE 200 BRENTWOOD, TN 37027 | AFLAC | $138 | — | $138 | 0.61% |
| JAMES E WOOD3 | 123 SPRINGFIELD DRIVE LEBANON, TN 37087 | AFLAC | $98 | $38 | $136 | 0.60% |
| DAVID KEVIN BOWEN3 | 1029 ELMSHADE LANE NASHVILLE, TN 37211 | AFLAC | $107 | — | $107 | 0.47% |
| DAVID M CRUMLEY3 | 5111 MARYLAND WAY SUITE 210 BRENT, TN 37027 | AFLAC | $73 | — | $73 | 0.32% |
| LUKE COPELAND3 | 519 WELLS ROAD MERIDIANVILLE, AL 35759 | AFLAC | $51 | — | $51 | 0.22% |
| JENNY LYNN LASATER3 | PO BOX 2413 LEBANON, TN 37088 | AFLAC | $28 | — | $28 | 0.12% |
| RONALD A DASHKOVITZ3 | 20 MILLPOND TRAIL SAGINAW, MI 48603 | AFLAC | $18 | — | $18 | 0.08% |
| VBTN, INC3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $16 | — | $16 | 0.07% |
| JOSHUA LEE JONES3 | 1307 CAMPANIA NEW BRAUNFELS, TX 78132 | AFLAC | $13 | — | $13 | 0.06% |
| BRENT L GOODE3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLET, TN 37215 | AFLAC | $9 | — | $9 | 0.04% |
| GARY W LOVELL3 | PO BOX 90866 NASHVILLE, TN 37209 | AFLAC | $8 | — | $8 | 0.04% |
| MILTON E WUERTZ3 | 1017 BELMONT DRIVE DICKSON, TN 37055 | AFLAC | $8 | — | $8 | 0.04% |
| DOC N REESE3 | 830 CASTLE HEIGHTS AVENUE LEBANON, TX 37087 | AFLAC | $7 | — | $7 | 0.03% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $7 | — | $7 | 0.03% |
| JAY S OLEARY3 | 1802 EAVES COURT NOLENSVILLE, TN 37135 | AFLAC | $6 | — | $6 | 0.03% |
| JAMES D STEPHENS3 | 26710 MANDRAKE FALLS COURT KATY, TX 77494 | AFLAC | $4 | — | $4 | 0.02% |
| DONALD B BOWEN3 | 6513 BANBURY CROSSING BRENTWOOD, TN 37027 | AFLAC | $4 | — | $4 | 0.02% |
| NOLAN DOYLE MCCUE3 | 242 HERITAGE PARK DRIVE SUITE 108 MURFREESBORO, TN 37129 | AFLAC | $3 | $1 | $4 | 0.02% |
| EVERETT C BICKEL3 | 6310 SOUTHWEST 103RD LANE OCALA, FL 34476 | AFLAC | $3 | — | $3 | 0.01% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LANE FRANKLIN, TN 37067 | AFLAC | $3 | — | $3 | 0.01% |
| JOSEPH L LEDOUX3 | 2411 CARTER AVENUE NASHVILLE, TN 37206 | AFLAC | $3 | — | $3 | 0.01% |
| KANDI H HECKLER3 | 5453 HASELL DRIVE ROCKVALE, TN 37153 | AFLAC | $2 | — | $2 | 0.01% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | AFLAC | $2 | — | $2 | 0.01% |
| JOANNA G MATHERLY3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $2 | — | $2 | 0.01% |
| MEREDITH D MCGAW3 | 13175 FOUNTAIN PARK DRIVE APARTMENT A404 PLAYA VISTA, CA 90094 | AFLAC | $2 | — | $2 | 0.01% |
| GARY W LOVELL3 | PO BOX 682146 FRANKLIN, TN 37068 | AFLAC | $2 | — | $2 | 0.01% |
| JEFF HOUCK3 | 2245 OLD WOODBURY HIGHWAY MANCHESTER, TN 37355 | AFLAC | $1 | — | $1 | 0.00% |
| ALAN W MARTIN3 | 123 CENTER PARK DRIVE SUITE 102 KNOXVILLE, TN 37922 | AFLAC | $1 | — | $1 | 0.00% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SOUTHEAST SUITE 1950 ATLANTA, GA 30339 | SYMETRA LIFE INSURANCE COMPANY | $2K | $623 | $3K | 18.87% |
| GROUP INSURANCE SERVICES INC3 | 1 CAMERON HILL CIRCLE CHATTANOOGA, TN 37401 | SYMETRA LIFE INSURANCE COMPANY | $362 | — | $362 | 2.25% |
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 | 121 | 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) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 120 | $630K |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 120 | $630K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 120 | $630K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 122 | $39K |
| Short-term disability | AFLAC | 23 | $23K |
| Other(2 contracts, 2 carriers) | AFLAC | 122 | $39K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 122 | — |
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.