| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JONATHAN FRISCH3 | 6000 POPLAR AVENUE SUITE 300 MEMPHIS, TN 38119 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $33K | — | $33K | 8.14% |
| MCGRIFF INSURANCE SERVICES INC3 | 3605 GLENWOOD AVENUE SUITE 200 RALEIGH, NC 27612 | AFLAC | $1K | — | $1K | 2.02% |
| CHRISTY G POE3 | 1503 BAYWOOD CV WEST MEMPHIS, AZ 72301 | AFLAC | $1K | — | $1K | 1.88% |
| KENNETH BRADLEY ELDRED3 | 611 BELMONT ESTATES DR HERNANDO, MS 38632 | AFLAC | $798 | $18 | $816 | 1.24% |
| DANNETTE L CLARKSON3 | 3421 SUNSHINE RD ROYAL, AR 71968 | AFLAC | $753 | — | $753 | 1.15% |
| CHRIS WILSON3 Filed as: CHRIS BLAIR WILSON | 47886 HUNTERS CROSSING CORDOVA, TN 38018 | AFLAC | $584 | $91 | $675 | 1.03% |
| JACKIE LYNN SMITHEY3 | PO BOX 404 JOINER, AR 72350 | AFLAC | $624 | — | $624 | 0.95% |
| KATHERINE B MARCUM3 | PO BOX 562 PARSONS, TN 38363 | AFLAC | $378 | — | $378 | 0.58% |
| AARON E SMITH3 | 8571 COUNTY ROAD 610 ARBYRD, MO 63821 | AFLAC | $248 | $18 | $266 | 0.40% |
| HARRY S RUBENSTEIN3 | 1291 POPLAR RIDGE DR MEMPHIS, TN 38120 | AFLAC | $206 | — | $206 | 0.31% |
| HAROLD L POSTON SR3 | 1559 LAWTON TRL GERMANTOWN, TN 38138 | AFLAC | $136 | — | $136 | 0.21% |
| PHILLIP L DAGASTINO3 | 5301 PECAN GROVE LN MEMPHIS, TN 38120 | AFLAC | $113 | — | $113 | 0.17% |
| KATHERINE B MARCUM3 | 46 E HOLLEY ST PARSONS, TN 38363 | AFLAC | $101 | — | $101 | 0.15% |
| SHERESE SMITH GREEN3 | PO BOX 1298 WEST MEMPHIS, AR 72303 | AFLAC | $98 | — | $98 | 0.15% |
| CAROLYN H BOLIN3 | 5284 SUMMER WIND LN ARLINGTON, TN 38002 | AFLAC | $50 | — | $50 | 0.08% |
| TODD R EATON3 | 6971 HEARTHSIDE CV MEMPHIS, TN 38119 | AFLAC | $50 | — | $50 | 0.08% |
| BRADLEY T MOORE3 | 610 STEWART DR MARION, AR 72364 | AFLAC | $49 | — | $49 | 0.07% |
| BYRON KEITH BURRELL3 | 2805 LONDONBERRY LN CONWAY, AR 72034 | AFLAC | $37 | — | $37 | 0.06% |
| DAVID G WILLIAMS3 | 145 FAIRWAYS DR HENDERSONVILLE, TN 37075 | AFLAC | $37 | — | $37 | 0.06% |
| JOHN TIMOTHY MCRAE3 | 1315 PLEASANT POINTE CIR BRYANT, AR 72022 | AFLAC | $29 | — | $29 | 0.04% |
| TIMOTHY J REED3 Filed as: TIMOTHY S INGRAM | 1731 MOUNT ZION RD JACKSONVILLE, IL 62650 | AFLAC | $26 | — | $26 | 0.04% |
| RONALD H RICHEY3 | 4023 LAURAWOOD LN FRANKLIN, TN 37067 | AFLAC | $26 | — | $26 | 0.04% |
| KIMBERLY DIAN CROCKETT3 | 1563 ASHLEY CREEK LN CORDOVA, TN 38016 | AFLAC | $20 | — | $20 | 0.03% |
| SHANNON L MCBRIDE3 | 2004 HUALAPAI LN GUNTERSVILLE, AL 35976 | AFLAC | $19 | — | $19 | 0.03% |
| KIMBERLY DIAN CROCKETT3 | 505 LEE ROAD 214 PHENIX CITY, AL 36870 | AFLAC | $17 | — | $17 | 0.03% |
| ROBERT C WEBB3 | 1856 PENSHURST DR COLLIERVILLE, TN 38017 | AFLAC | $13 | — | $13 | 0.02% |
| TIMOTHY J REED3 Filed as: TIMOTHY S INGRAM | 1355 LYNNFIELD ST SUITE 259 MEMPHIS, TN 38119 | AFLAC | $9 | — | $9 | 0.01% |
| ROBERT C WEBB3 | 1856 PENSHURST DR COLLIERVILLE, TN 38017 | AFLAC | $8 | — | $8 | 0.01% |
| TESSIE P CANTRELLE3 | 1340 W TUNNEL BLVD SUITE 650 HOUMA, LA 70360 | AFLAC | $5 | — | $5 | 0.01% |
| ROBERT L GOBLE3 | 1410 4TH STREET DR NW UNIT 208 HICKORY, MT 28601 | AFLAC | $4 | — | $4 | 0.01% |
| ROBERT L GOBLE3 | 250 34TH AVENUE NORTHEAST HICKORY, NC 28601 | AFLAC | $3 | — | $3 | 0.00% |
| PAMELA W EZZELL3 | 2947 CHERRYBARK CT HERMITAGE, TN 37076 | AFLAC | $3 | — | $3 | 0.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 10.01% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 6.02% |
| MCGRIFF INSURANCE SERVICES INC3 | 405 EAST ST PETER ST NEW IBERIA, LA 70560 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.08% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN BNFT ADMSTRS INC | PO BOX 9201 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.01% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 14.94% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 7.15% |
| MCGRIFF INSURANCE SERVICES INC3 | 405 EAST ST PETER ST NEW IBERIA, LA 70560 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.43% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9201 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 16.36% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 7.62% |
| MCGRIFF INSURANCE SERVICES INC3 | 405 EAST ST PETER ST NEW IBERIA, LA 70560 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.41% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9201 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.01% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 14.95% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 7.12% |
| MCGRIFF INSURANCE SERVICES INC3 | 405 EAST ST PETER ST NEW IBERIA, LA 70560 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.35% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9201 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $942 | $942 | 5.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 9.97% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $734 | $734 | 6.17% |
| MCGRIFF INSURANCE SERVICES INC3 | 405 EAST ST PETER ST NEW IBERIA, LA 70560 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $707 | $707 | 5.95% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN BNFT ADMSTRS INC | PO BOX 9201 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $595 | $595 | 5.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $471 | $471 | 6.04% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9201 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $391 | $391 | 5.01% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $389 | — | $389 | 4.99% |
| MCGRIFF INSURANCE SERVICES INC3 | 405 EAST ST PETER ST NEW IBERIA, LA 70560 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $206 | $206 | 2.64% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $509 | — | $509 | 16.38% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $238 | $238 | 7.66% |
| MCGRIFF INSURANCE SERVICES INC3 | 405 EAST ST PETER ST NEW IBERIA, LA 70560 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $171 | $171 | 5.50% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN BNFT ADMSTRS INC | PO BOX 9201 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $156 | $156 | 5.02% |
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 | 104 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 113 | $403K |
| Dental(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 49 | $38K |
| Vision | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 83 | $8K |
| Life insurance(3 contracts, 2 carriers) | AFLAC | 124 | $90K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 64 | $19K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 36 | $21K |
| Other(3 contracts, 2 carriers) | AFLAC | 124 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 124 | — |
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.