| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST INC | 265 BROOKVIEW CENTRE WAY STE 505 KNOXVILLE, TN 37919 | HUMANA | $37K | — | $37K | 2.77% |
| SUSIE THORPE3 Filed as: SUSIE C THORPE | PO BOX 31858 KNOXVILLE, TN 37930 | AFLAC | $8K | $323 | $8K | 8.72% |
| NATHAN A THORPE3 | PO BOX 5811 KNOXVILLE, TN 37928 | AFLAC | $6K | $152 | $6K | 6.83% |
| CASEY A CURLEE3 | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $4K | $95 | $4K | 4.19% |
| MATTHEW D BUTLER3 | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $2K | $95 | $2K | 2.16% |
| ALAN W MARTIN3 Filed as: ALAN W. MARTIN | 12524 MALLARD BAY DR. KNOXVILLE, TN 37922 | AFLAC | $310 | — | $310 | 0.34% |
| DONALD L LARSON3 Filed as: DONALD LARSON | 1528 LOUISVILLE ROAD ALCOA, TN 37701 | AFLAC | $175 | — | $175 | 0.19% |
| BRENT L GOODE3 Filed as: BRENT L. GOODE | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $154 | — | $154 | 0.17% |
| ERNESTINE KING3 Filed as: ERNESTINE B. KING | 115 LAKEVIEW HILLS LANE CLINTON, TN 37716 | AFLAC | $101 | — | $101 | 0.11% |
| KELSEY DAVID EVERT3 | 2055 N. MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37922 | AFLAC | $73 | — | $73 | 0.08% |
| BENJAMIN T MORGENEGG3 Filed as: BENJAMIN T. MORGENEGG | 1915 NORTHSHORE HILLS BLVD. KNOXVILLE, TN 37922 | AFLAC | $60 | — | $60 | 0.07% |
| JAY S OLEARY3 | 1802 EAVES CT. NOLENSVILLE, TN 37135 | AFLAC | $41 | — | $41 | 0.05% |
| CHARLES F GREER3 | 9537 PECKY CYPRESS WAY ORLANDA, FL 32836 | AFLAC | $38 | — | $38 | 0.04% |
| ABBIE W COFFMAN3 | 31 HAWTHORN CIRCLE CROSSVILLE, TN 38555 | AFLAC | $36 | — | $36 | 0.04% |
| JOSEPH L LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $35 | — | $35 | 0.04% |
| A ED GOODWIN JR3 Filed as: A. ED GOODWIN JR. | 520 DIXON LANE KODAK, TN 37764 | AFLAC | $27 | — | $27 | 0.03% |
| VBTN, INC3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $26 | — | $26 | 0.03% |
| KANDI H HECKLER3 | 5453 HASELL DRIVE. ROCKVALE, TN 37153 | AFLAC | $20 | — | $20 | 0.02% |
| RONALD H RICHEY3 Filed as: RONALD RICHEY | 4023 LAURAWOOD LANE FRANKLIN, TN 37067 | AFLAC | $17 | — | $17 | 0.02% |
| CARLA T WITHERINGTON3 Filed as: CARLA T. WITHERINGTON | 1405 HERRING DRIVE COVINGTON, TN 38019 | AFLAC | $10 | — | $10 | 0.01% |
| ALAN W MARTIN3 | 123 CENTER PARK DRIVE SUITE 102 KNOXVILLE, TN 37922 | AFLAC | $10 | — | $10 | 0.01% |
| RONALD E KIRKLAND3 | 1044 HARBOR RIDGE ROAD GUNTERSVILLE, AL 35976 | AFLAC | $7 | — | $7 | 0.01% |
| JOANNA G MATHERLY3 | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $4 | — | $4 | 0.00% |
| ROGER MURRAY JOHNSON3 | 1926 TURNING WHEEL LANE FRANKLIN, TN 37067 | AFLAC | $2 | — | $2 | 0.00% |
| ANDREW RADER3 | 265 BROOKVIEW CENTRE WAY STE. 505 KNOXVILLE, TN 37919 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $5K | — | $5K | 10.63% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST, INC | 29982 NETWORK PLACE CHICAGO, IL 60673 | USABLE LIFE | $3K | — | $3K | 12.61% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES | 1 CAMERON HILL CIRCLE 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $3K | — | $3K | 12.61% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES, INC. | 1 CAMERON HILL CIRCLE 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $1K | — | $1K | 10.55% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST INC. | 29982 NETWORK PLACE CHICAGO, IL 60673 | USABLE LIFE | $958 | — | $958 | 8.26% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES | 1 CAMERON HILL CIRCLE 2.5 CHATTANOOGA, TN 37402 | USABLE LIFE | $326 | — | $326 | 12.59% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST, INC | 29982 NETWORK PLACE CHICAGO, IL 60673 | USABLE LIFE | $326 | — | $326 | 12.59% |
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 | 253 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 253 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AFLAC | 198 | $138K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 198 | $48K |
| Other(3 contracts) | USABLE LIFE | 253 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 253 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.