| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | PARK 80 PLAZA 2 SADDLE BROOK, NJ 07663 | METROPOLITAN LIFE INS CO | $31K | $3K | $34K | 14.71% |
| TOM PROVOW LLC3 Filed as: TOM PROVOW | 315 ROBERT ROSE STE 2 MURFREESBORO, TN 37129 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $148 | — | $148 | 1.33% |
| LVI BENEFITS SERVICES LLC3 Filed as: LVI BENEFITS SERVICES | 2985 SURREY RIDGE RD CLARKSVILLE, TN 37043 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $140 | — | $140 | 1.26% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | PO BOX 6087 HUNTSVILLE, AL 35824 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $125 | — | $125 | 1.13% |
| MCELHANEY INSURANCE LLC3 Filed as: MCELHANEY INS AGENCY | 2115 LOOK ROCK CT MURFREESBORO, TN 37130 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $112 | — | $112 | 1.01% |
| WILLIAM RICHARD KYZER3 Filed as: WILLIAM R KYZER | 8211 GORDON LANE HERMITAGE, TN 37076 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $67 | — | $67 | 0.60% |
| KEITH STYANLEY TOBIAS3 Filed as: KEITH S TOBIAS | 1366 DUNRAVEN DR MURFREESBORO, TN 37128 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $62 | — | $62 | 0.56% |
| VICKI E. LEWIS3 Filed as: VICKI LEWIS | 6558 STOVALL RD CAVE CITY, KY 42127 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 0.26% |
| KAREN TOBIAS3 | 1366 DUNRAVEN DR MURFREESBORO, TN 37128 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 0.26% |
| TODD BOOZER3 | 2900 CAHABA RD BIRMINGHAM, AL 35223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.02% |
| DARCIPRETE AND ASSOCIATES INC3 Filed as: DARCIPRETE AND ASSOC | 12945 US HWY 331 MONTGOMERY, AL 36105 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MARSH & MCLENNAN AGENCY EIN 26-3237576 NONE | Insurance agents and brokers Service code 22 | PARK 80 WEST PLAZA 2 SADDLE BROOK, NJ 07663 | $16K |
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 | 228 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 228 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA | 228 | $1.0M |
| Dental | METROPOLITAN LIFE INS CO | 467 | $228K |
| Vision | METROPOLITAN LIFE INS CO | 467 | $228K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INS CO | 467 | $239K |
| Short-term disability | METROPOLITAN LIFE INS CO | 467 | $228K |
| Long-term disability | METROPOLITAN LIFE INS CO | 467 | $228K |
| Other | METROPOLITAN LIFE INS CO | 467 | $228K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 467 | — |
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."
No prospect flags tripped on this filing.