| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 999 SHADY GROVE SUITE 200 MEMPHIS, TN 38120 | HUMANA INSURANCE COMPANY | $24K | — | $24K | 5.36% |
| MCGRIFF INSURANCE SERVICES INC3 | 3605 GLENWOOD AVENUE SUITE 200 RALEIGH, NC 27612 | AFLAC | $925 | — | $925 | 1.72% |
| CHRISTY G POE3 Filed as: CHRISTY POE | 1503 BAYWOOD COVE WEST MEMPHIS, AR 72301 | AFLAC | $753 | — | $753 | 1.40% |
| DANNETTE L CLARKSON3 Filed as: DANNETTE CLARKSON | 3421 SUNSHINE ROAD ROYAL, AR 71968 | AFLAC | $681 | — | $681 | 1.26% |
| KENNETH ELDRED3 | 611 BELMONT ESTATES DRIVE HERNANDO, MS 38632 | AFLAC | $628 | — | $628 | 1.17% |
| CHRIS WILSON3 | 7886 HUNTERS CROSSING CORDOVA, TN 38018 | AFLAC | $518 | — | $518 | 0.96% |
| JACKIE LYNN SMITHEY3 Filed as: JACKIE SMITHEY | PO BOX 404 JOINER, AR 72350 | AFLAC | $499 | — | $499 | 0.93% |
| HARRY S RUBENSTEIN3 Filed as: HARRY RUBENSTEIN | 1816 EAST CHURCHILL DOWNS GERMANTOWN, TN 38138 | AFLAC | $210 | — | $210 | 0.39% |
| AARON E SMITH3 | 8571 COUNTY ROAD 610 ARBYRD, MO 63821 | AFLAC | $174 | — | $174 | 0.32% |
| HAROLD L POSTON SR3 Filed as: HAROLD POSTON SR | 2190 WOOD CREEK DRIVE GERMANTOWN, TN 38138 | AFLAC | $110 | — | $110 | 0.20% |
| PHILLIP L DAGASTINO3 Filed as: PHILLIP DAGASTINO | 5301 PECAN GROVE LANE MEMPHIS, TN 38120 | AFLAC | $107 | — | $107 | 0.20% |
| BRADLY T MOORE3 Filed as: BRADLY MOORE | 610 STEWART DRIVE MARION, AR 72364 | AFLAC | $38 | — | $38 | 0.07% |
| SHERESE SMITH GREEN3 Filed as: SHERESE GREEN | PO BOX 1298 WEST MEMPHIS, AR 72303 | AFLAC | $37 | — | $37 | 0.07% |
| DAVID WILLIAMS3 | 665 DAVIS DRIVE GALLATIN, TN 37066 | AFLAC | $33 | — | $33 | 0.06% |
| BYRON KEITH BURRELL3 Filed as: BYRON BURRELL | 364 ARKAVALLEY ROAD GREENBRIER, AR 72058 | AFLAC | $32 | — | $32 | 0.06% |
| KIMBERLY DIAN CROCKETT3 Filed as: KIMBERLY CROCKETT | 505 LEE ROAD 214 PHENIX CITY, AL 36870 | AFLAC | $28 | — | $28 | 0.05% |
| GLORIA EATON3 | 50 SOUTHWIND DRIVE OAKLAND, TN 38060 | AFLAC | $26 | — | $26 | 0.05% |
| CAROLYN H BOLIN3 Filed as: CAROLYN BOLIN | 5284 SUMMER WIND LANE ARLINGTON, TN 38002 | AFLAC | $26 | — | $26 | 0.05% |
| KATHERINE B CLENNEY3 Filed as: KATHERINE CLENNEY | 296 NORTH OAK GROVE ROAD MEMPHIS, TN 38120 | AFLAC | $25 | — | $25 | 0.05% |
| JOHN TIMOTHY MCRAE3 Filed as: JOHN MCRAE | 1206 WOODLAND PARK DRIVE BRYANT, AR 72022 | AFLAC | $25 | — | $25 | 0.05% |
| RONALD H RICHEY3 Filed as: RONALD RICHEY | 4499 MURFREESBORO ROAD FRANKLIN, TN 37067 | AFLAC | $24 | — | $24 | 0.04% |
| NANCY D WEBB3 Filed as: NANCY WEBB | 1856 PENSHURST DRIVE COLLIERVILLE, TN 38017 | AFLAC | $14 | — | $14 | 0.03% |
| SHANON MCBRIDE3 | 635 SYCAMORE ROAD COLLIERVILLE, TN 38017 | AFLAC | $14 | — | $14 | 0.03% |
| TIMOTHY INGRAM3 | 1731 MOUNT ZION ROAD JACKSONVILLE, IL 62650 | AFLAC | $7 | — | $7 | 0.01% |
| ROBERT GOBLE3 | 250 34TH AVENUE NORTHEAST HICKORY, NC 28601 | AFLAC | $4 | — | $4 | 0.01% |
| TESSIE P CANTRELLE3 Filed as: TESSIE CANTRELLE | 3112 LILLIAN MARIE DRIVE GRAY, LA 70359 | AFLAC | $4 | — | $4 | 0.01% |
| PAMELA W EZZELL3 Filed as: PAMELA EZZELL | 2947 CHERRYBARK COURT HERMITAGE, TN 37076 | AFLAC | $2 | — | $2 | 0.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 3130 CROW CANYON PLACE SUITE 400 SAN RAMON, CA 94583 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 5.77% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $115 | $115 | 0.39% |
| MCGRIFF INSURANCE SERVICES INC3 | 3130 CROW CANYON PLACE SUITE 400 SAN RAMON, CA 94583 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 16.10% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 6.81% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $194 | $194 | 0.74% |
| MCGRIFF INSURANCE SERVICES INC3 | 3130 CROW CANYON PLACE SUITE 400 SAN RAMON, CA 94583 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 15.07% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 6.36% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $165 | $165 | 0.66% |
| MCGRIFF INSURANCE SERVICES INC3 | 3130 CROW CANYON PLACE SUITE 400 SAN RAMON, CA 94583 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 15.07% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 6.36% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $975 | $975 | 5.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $129 | $129 | 0.66% |
| MCGRIFF INSURANCE SERVICES INC3 | 3130 CROW CANYON PLACE SUITE 400 SAN RAMON, CA 94583 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 10.04% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $754 | $754 | 5.67% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $665 | $665 | 5.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $43 | $43 | 0.32% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $555 | $555 | 5.72% |
| MCGRIFF INSURANCE SERVICES INC3 | 3130 CROW CANYON PLACE SUITE 400 SAN RAMON, CA 94583 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $488 | — | $488 | 5.03% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $485 | $485 | 5.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $34 | $34 | 0.35% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $575 | $24 | $599 | 16.74% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $241 | $241 | 6.74% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $179 | $179 | 5.00% |
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 | 140 | 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) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA INSURANCE COMPANY | 78 | $455K |
| Dental(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 52 | $43K |
| Vision | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 95 | $10K |
| Life insurance(3 contracts, 2 carriers) | AFLAC | 140 | $84K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 71 | $20K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 40 | $25K |
| Other(3 contracts, 2 carriers) | AFLAC | 140 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 140 | — |
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.