| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SHAFER INSURANCE AGENCY INC3 | 1100 MARION ST #200 KNOXVILLE, TN 37921 | UNITED HEALTHCARE PLAN OF THE RIVER VALLEY INC | $0 | $25K | $25K | 2.27% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENNESSEE INC | 265 BROOKVIEW CENTRE WAY #505 KNOXVILLE, TN 37919 | UNITED HEALTHCARE PLAN OF THE RIVER VALLEY INC | $0 | $9K | $9K | 0.82% |
| SUSIE THORPE3 Filed as: SUSIE C. THORPE | PO BOX 31858 KNOXVILLE, TN 37930 | AFLAC | $9K | $85 | $9K | 12.37% |
| CASEY A CURLEE3 Filed as: CASEY A. CURLEE | 123 CENTER PARK DR. STE 102 KNOXVILLE, TN 37922 | AFLAC | $2K | $17 | $2K | 3.35% |
| MATTHEW D BUTLER3 Filed as: MATTHEW D. BUTLER | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $1K | $17 | $1K | 1.49% |
| NATHAN A THORPE3 Filed as: NATHAN A. THORPE | PO BOX 5811 KNOXVILLE, TN 37928 | AFLAC | $636 | — | $636 | 0.87% |
| ALAN W MARTIN3 Filed as: ALAN W. MARTIN | 12524 MALLARD BAY DR KNOXVILLE, TN 37922 | AFLAC | $361 | — | $361 | 0.50% |
| DONALD L LARSON3 Filed as: DONALD I. LARSON | 1528 LOUISVILLE RD ALCOA, TN 37701 | AFLAC | $207 | — | $207 | 0.28% |
| BRENT L GOODE3 | 2000 GLEN ECHO RD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $181 | — | $181 | 0.25% |
| KELSEY DAVID EVERT3 | 2055 N MOUNT JULIET RD STE 201 MOUNT JULIET, TN 37122 | AFLAC | $92 | — | $92 | 0.13% |
| ERNESTINE KING3 Filed as: ERNESTINE B. KING | 115 LAKEVIEW HILLS LN CLINTON, TN 37716 | AFLAC | $89 | — | $89 | 0.12% |
| BENJAMIN T MORGENEGG3 | 1915 NORTHSHORE HILLS BLVD KNOXVILLE, TN 37922 | AFLAC | $74 | — | $74 | 0.10% |
| CHARLES F GREER3 Filed as: CHARLES F. GREER | 2888 ALOMA LAKE RUN SUITE 2300 OVIEDO, FL 32765 | AFLAC | $39 | — | $39 | 0.05% |
| ABBIE W COFFMAN3 Filed as: ABBIE W. COFFMAN | 31 HAWTHORN CIR CROSSVILLE, TN 38555 | AFLAC | $37 | — | $37 | 0.05% |
| RONALD H RICHEY3 Filed as: RONALD H. RICHEY | 4023 LAURAWOOD LN FRANKLIN, TN 37067 | AFLAC | $31 | — | $31 | 0.04% |
| VBTN, INC3 Filed as: VBTN, INC. | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $30 | — | $30 | 0.04% |
| A ED GOODWIN JR3 Filed as: A ED GOODWIN JR. | 520 DIXON LANE KODAK, TN 37764 | AFLAC | $24 | — | $24 | 0.03% |
| NONE Filed as: NONE LISTED | NONE LISTED NONE LISTED, TN 37923 | AFLAC | $21 | — | $21 | 0.03% |
| JAY S OLEARY3 Filed as: JAY S. O'LEARY | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $20 | — | $20 | 0.03% |
| JOSEPH L LEDOUX3 Filed as: JOSEPH L. LEDOUX | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $15 | — | $15 | 0.02% |
| ALAN W MARTIN3 Filed as: ALAN W. MARTIN | 123 CENTER PARK DR SUITE 102 KNOXVILLE, TN 37922 | AFLAC | $13 | — | $13 | 0.02% |
| RONALD E KIRKLAND3 Filed as: RONALD E. KIRKLAND | 1044 HARBOR RIDGE RD GUNTERSVILLE, AL 35976 | AFLAC | $12 | — | $12 | 0.02% |
| KANDI H HECKLER3 Filed as: KANDI H. HECKLER | 5453 HASELL DR ROCKVALE, TN 37153 | AFLAC | $8 | — | $8 | 0.01% |
| CARLA T WITHERINGTON3 Filed as: CARLA T. WITHERINGTON | 1405 HERRING DR COVINGTON, TN 38019 | AFLAC | $4 | — | $4 | 0.01% |
| JOANNA G MATHERLY3 Filed as: JOANNA G. MATHERLY | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $3 | — | $3 | 0.00% |
| ROGER MURRAY JOHNSON3 | 1311 DECATUR CIR FRANKLIN, TN 37067 | AFLAC | $1 | — | $1 | 0.00% |
| LISA ROBINETTE3 Filed as: LISA HELTON ROBINETTE | 1100 MARION ST STE 200 KNOXVILLE, TN 37921 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $3K | — | $3K | 6.29% |
| ANDREW RADER3 | 265 BROOKVIEW CENTRE WAY, STE 505 KNOXVILLE, TN 37919 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $556 | — | $556 | 1.12% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES INC. | 1 CAMERON HILL CIRCLE 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $3K | — | $3K | 15.00% |
| SHAFER INSURANCE AGENCY INC3 Filed as: SHAFER INSURANCE AGENCY INC. | 1100 MARION STREET STE 200 KNOXVILLE, TN 37921 | USABLE LIFE | $2K | — | $2K | 11.23% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENNESSEE INC. | 29982 NETWORK PLACE CHICAGO, IL 60673 | USABLE LIFE | $743 | — | $743 | 3.77% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES INC. | 1 CAMERON HILL CIRCLE 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $1K | — | $1K | 11.76% |
| SHAFER INSURANCE AGENCY INC3 Filed as: SHAFER INSURANCE AGENCY INC. | 1100 MARION STREET STE 200 KNOXVILLE, TN 37921 | USABLE LIFE | $823 | — | $823 | 7.29% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENNESSEE INC. | 29982 NETWORK PLACE CHICAGO, IL 60673 | USABLE LIFE | $307 | — | $307 | 2.72% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES, INC. | 1 CAMERON HILL CIRCLE 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $291 | — | $291 | 14.99% |
| SHAFER INSURANCE AGENCY INC3 Filed as: SHAFER INSURANCE AGENCY INC. | 1100 MARION STREET STE 200 KNOXVILLE, TN 37921 | USABLE LIFE | $217 | — | $217 | 11.18% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENNESSEE INC. | 29982 NETWORK PLACE CHICAGO, IL 60673 | USABLE LIFE | $74 | — | $74 | 3.81% |
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 | 259 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 259 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE PLAN OF THE RIVER VALLEY INC | 268 | $1.2M |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 222 | $50K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 222 | $50K |
| Life insurance(2 contracts) | USABLE LIFE | 259 | $31K |
| Other(2 contracts) | USABLE LIFE | 259 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 268 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.