| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TODD BLANCETT3 | PO BOX 852 HIXSON, TN 37343 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $36K | — | $36K | 5.79% |
| RENEWAL3 | 800 MARKET ST STE 205 CHATTANOOGA, TN 37402 | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | $7K | — | $7K | 1.07% |
| DIGITAL INSURANCE LLC3 | 4180 PROVIDENCE RD STE 200 MARIETTA, GA 30062 | AFLAC | $12K | — | $12K | 7.72% |
| ENROLLEASE3 Filed as: DIGITAL INSURANCE LLC,E | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | AFLAC | $9K | — | $9K | 5.33% |
| DAVID P GALLOWAY3 | 99 LEE CT RINGGOLD, GA 30736 | AFLAC | $4K | $582 | $5K | 2.89% |
| STACI FISHER3 | 1789 BRADY DR STE 4 DALTON, GA 30720 | AFLAC | $3K | $267 | $4K | 2.31% |
| CASEY A CURLEE3 | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $3K | $38 | $3K | 1.68% |
| SHARON MAY LINDSAY3 Filed as: SHARON B SESSOMS | 1431 ONEAL RD HIXSON, TN 37343 | AFLAC | $2K | $174 | $2K | 1.53% |
| ETHAN GREER3 | 558 CLINGMANS LN CHATTANOOGA, TN 37419 | AFLAC | $2K | $285 | $2K | 1.35% |
| RILEY D GRAVES3 | 281 WADDELL RD SW CLEVELAND, TN 37311 | AFLAC | $1K | $120 | $1K | 0.92% |
| REBECCA LYNN HOGAN3 | 145 OLD LEAD MINE VALLEY RD SW CLEVELAND, TN 37311 | AFLAC | $1K | — | $1K | 0.76% |
| TAYLOR THIGPEN3 | 605 COMMODORE LN KNOXVILLE, TN 37934 | AFLAC | $1K | — | $1K | 0.63% |
| TAYLER SHEA LOGAN3 | 405 CRESCENT AVE CHICKAMAUGA, GA 30707 | AFLAC | $831 | $169 | $1K | 0.62% |
| STEVEN WILLIAM JENKINS3 | 8605 BOULDER VIEW DR SODDY DAISY, TN 37379 | AFLAC | $889 | $71 | $960 | 0.59% |
| JESSYKA CLARK3 | 121 SHAWNEE TRL CHATTANOOGA, TN 37411 | AFLAC | $605 | — | $605 | 0.37% |
| STACIE BREWER3 | 1081 GROVES RD PIKEVILLE, TN 37367 | AFLAC | $367 | $145 | $512 | 0.32% |
| ISABEL C RIJOS BURGOS3 | 325 CHEROKEE BLVD STE 102 CHATTANOOGA, TN 37405 | AFLAC | $424 | $66 | $490 | 0.30% |
| SHERYL YATES3 | 825 ASHLEY FOREST DR HIXSON, TN 37343 | AFLAC | $353 | $79 | $432 | 0.27% |
| CHANDLA D PESNELL3 | 3453 FRANKLIN DR CHATTANOOGA, TN 37419 | AFLAC | $357 | $20 | $377 | 0.23% |
| JASON M JONES3 | 2324 INVERNESS DR NW CLEVELAND, TN 37312 | AFLAC | $355 | — | $355 | 0.22% |
| SHAMROCK SYNERGY SOLUTIONS LLC3 | 644 OHIO RIVER BLVD SEWICKLEY, PA 15143 | AFLAC | $330 | — | $330 | 0.20% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF TN INC | 6 CADILLAC DR STE 200 BRENTWOOD, TN 37027 | AFLAC | $310 | — | $310 | 0.19% |
| SHANE BOLES3 | 1145 GULCH RD TRENTON, GA 30752 | AFLAC | $231 | $6 | $237 | 0.15% |
| GREGORY FEARS3 | 122 TUNNIE PT DUNLAP, TN 37327 | AFLAC | $154 | $44 | $198 | 0.12% |
| ALAN W FOSTER3 | 716 FRENCH RIVER RD NOLENSVILLE, TN 37135 | AFLAC | $197 | — | $197 | 0.12% |
| AMANDA CRAFT3 | 2448 WATERHAVEN DR CHATTANOOGA, TN 37406 | AFLAC | $187 | — | $187 | 0.12% |
| TESSA MARIE TAIBO3 | 1401 ONEAL ROAD HIXSA, TN 37403 | AFLAC | $112 | $60 | $172 | 0.11% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE LLC, | 200 GALLERIA PKWY SE 1950 ATLANTA, GA 30339 | AFLAC | $162 | — | $162 | 0.10% |
| NICOLE BATES3 | 15 MAIZE FLOWER PL TOMBALL, TX 77375 | AFLAC | $153 | $8 | $161 | 0.10% |
| CHRISTY D TRENTHAM3 | 766 HORNS CREEK RD OLD FORT, TN 37362 | AFLAC | $150 | — | $150 | 0.09% |
| RELIANCE BENEFITS, LLC3 Filed as: RELIANCE BENEFITS LLC | 800 MARKET ST STE 205 CHATTANOOGA, TN 37402 | AFLAC | $141 | — | $141 | 0.09% |
| WAYNE G MCMEEN3 | 1445 FAGAN ST APT 302 CHATTANOOGA, TN 37408 | AFLAC | $79 | — | $79 | 0.05% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | AFLAC | $3K | — | $3K | 5.03% |
| DIGITAL INSURANCE LLC3 | 4180 PROVIDENCE RD STE 200 MARIETTA, GA 30062 | AFLAC | $2K | — | $2K | 3.47% |
| SHARON MAY LINDSAY3 Filed as: SHARON B SESSOMS | 1431 ONEAL RD HIXSON, TN 37343 | AFLAC | $1K | $174 | $2K | 2.46% |
| DAVID P GALLOWAY3 | 99 LEE CT RINGGOLD, GA 30736 | AFLAC | $1K | $83 | $1K | 1.78% |
| TAYLER SHEA LOGAN3 | 405 CRESCENT AVE CHICKAMAUGA, GA 30707 | AFLAC | $686 | $262 | $948 | 1.46% |
| ETHAN GREER3 | 558 CLINGMANS LN CHATTANOOGA, TN 37419 | AFLAC | $630 | $114 | $744 | 1.15% |
| REBECCA LYNN HOGAN3 | 145 OLD LEAD MINE VALLEY RD SW CLEVELAND, TN 37311 | AFLAC | $733 | — | $733 | 1.13% |
| CASEY A CURLEE3 | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $621 | $21 | $642 | 0.99% |
| STACI FISHER3 | 1789 BRADY DR STE 4 DALTON, GA 30720 | AFLAC | $476 | $28 | $504 | 0.78% |
| TAYLOR THIGPEN3 | 605 COMMODORE LN KNOXVILLE, TN 37934 | AFLAC | $457 | — | $457 | 0.71% |
| ISABEL C RIJOS BURGOS3 | 325 CHEROKEE BLVD STE 102 CHATTANOOGA, TN 37405 | AFLAC | $391 | $41 | $432 | 0.67% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF TN INC | 6 CADILLAC DR STE 200 BRENTWOOD, TN 37027 | AFLAC | $387 | — | $387 | 0.60% |
| RILEY D GRAVES3 | 281 WADDELL RD SW CLEVELAND, TN 37311 | AFLAC | $294 | $63 | $357 | 0.55% |
| ALAN W FOSTER3 | 716 FRENCH RIVER RD NOLENSVILLE, TN 37135 | AFLAC | $253 | — | $253 | 0.39% |
| SHANE BOLES3 | 1145 GULCH RD TRENTON, GA 30752 | AFLAC | $172 | $16 | $188 | 0.29% |
| SHAMROCK SYNERGY SOLUTIONS LLC3 | 644 OHIO RIVER BLVD SEWICKLEY, PA 15143 | AFLAC | $166 | — | $166 | 0.26% |
| CHRISTY D TRENTHAM3 | 766 HORNS CREEK RD OLD FORT, TN 37362 | AFLAC | $115 | — | $115 | 0.18% |
| WAYNE G MCMEEN3 | 1445 FAGAN ST APT 302 CHATTANOOGA, TN 37408 | AFLAC | $99 | — | $99 | 0.15% |
| STEVEN WILLIAM JENKINS3 | 8605 BOULDER VIEW DR SODDY DAISY, TN 37379 | AFLAC | $57 | $42 | $99 | 0.15% |
| RELIANCE BENEFITS, LLC3 Filed as: RELIANCE BENEFITS LLC | 800 MARKET ST STE 205 CHATTANOOGA, TN 37402 | AFLAC | $69 | — | $69 | 0.11% |
| KACY A GRUENKEMEYER3 | 558 CLINGMANS LN CHATTANOOGA, TN 37419 | AFLAC | $48 | — | $48 | 0.07% |
| AMANDA CRAFT3 | 2448 WATERHAVEN DR CHATTANOOGA, TN 37406 | AFLAC | $39 | — | $39 | 0.06% |
| JASON M JONES3 | 2324 INVERNESS DR NW CLEVELAND, TN 37312 | AFLAC | $36 | — | $36 | 0.06% |
| CHANDLA D PESNELL3 | 3453 FRANKLIN DR CHATTANOOGA, TN 37419 | AFLAC | $28 | $5 | $33 | 0.05% |
| DOUGLAS KAMPER3 | 624 SUISMON ST PITTSBURGH, PA 15212 | AFLAC | $31 | — | $31 | 0.05% |
| SHAMROCK SYNERGY SOLUTIONS LLC3 | 600 OHIO BLVD SEWICKLEY, PA 15143 | AFLAC | $31 | — | $31 | 0.05% |
| KATHERINE D. LEWIS3 Filed as: KATHERINE D LEWIS | 3023 FALMOUTH DR LOUISVILLE, KY 40205 | AFLAC | $30 | — | $30 | 0.05% |
| ELIZABETH WATTS3 Filed as: ELIZABETH A WATTS | 6641 RIVERBIRCH DR PEWEE VALLEY, KY 40056 | AFLAC | $16 | — | $16 | 0.02% |
| VALERIE KAY POVEY3 | 3107 KNOX CIR SW DECATUR, AL 35603 | AFLAC | $15 | — | $15 | 0.02% |
| SMITH BENEFITS CONSULTING GROUP3 | 810 RIVER AVE STE 230 PITTSBURGH, PA 15212 | AFLAC | $14 | — | $14 | 0.02% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 229 | $627K |
| Dental | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 229 | $627K |
| Vision | BLUECROSS BLUESHIELD OF TENNESSEE, INC. | 229 | $627K |
| Life insurance(2 contracts) | AFLAC | 201 | $226K |
| Short-term disability(2 contracts) | AFLAC | 201 | $226K |
| Other(2 contracts) | AFLAC | 201 | $226K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.