| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JUSTIN FOA3 | 68 SOUTH SERVICE ROAD MELVILE, NY 11747 | BLUECROSS BLUESHIELD OF TENNESSEE | $32K | $0 | $32K | 5.60% |
| JENNIFER KINLEY-LAWRENCE3 | 151 MAJOR REYNOLDS PLACE, SUITE 210 KNOWXVILLE, TN 37919 | BLUECROSS BLUESHIELD OF TENNESSEE | $4K | $0 | $4K | 0.68% |
| PROPEL INSURANCE AGENCY LLC3 | 151 MAJOR REYNOLDS PLACE, SUITE 210 KNOXVILLE, TN 37919 | DELTA DENTAL OF TENNESSEE | $3K | $0 | $3K | 2.99% |
| ACRISURE LLC3 Filed as: FOA & SON | 68 SOUTH SERVICE ROAD, SUITE 210 MELVILLE, NY 11747 | DELTA DENTAL OF TENNESSEE | $2K | $0 | $2K | 2.46% |
| ACRISURE LLC3 Filed as: FOA & SON | 200 BROADHOLLOW ROAD, SUITE 410 MELVILLE, NY 11747 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | $0 | $7K | 9.22% |
| PROPEL INSURANCE AGENCY LLC3 | 1201 PACIFIC AVENUE, SUITE 1000 TACOME, WA 98402 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $718 | $0 | $718 | 0.89% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK, SUITE A BEACHWOOD, OH 44122 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $538 | $538 | 0.67% |
| EOI SERVICE COMPANY INC3 Filed as: EOI SERVICE COMPANY INC. | 1820 EAST 1ST STREET, SUITE 400 SANTA ANA, CA 92705 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 12.92% |
| ACRISURE LLC3 Filed as: FOA & SONS CORPORATION | 122 EASH 42ND STREET, 46TH FLOOR NEW YORK, NY 10168 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 5.17% |
| ACRISURE LLC3 Filed as: FOA & SONS CORPORATION | 122 EASH 42ND STREET, 46TH FLOOR NEW YORK, NY 10168 | EYEMED VISION CARE ON EHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $1K | $0 | $1K | 10.13% |
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 | 98 | 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) | 98 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TENNESSEE | 172 | $568K |
| Dental | DELTA DENTAL OF TENNESSEE | 180 | $91K |
| Vision | EYEMED VISION CARE ON EHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 165 | $10K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 98 | $81K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 98 | $81K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 98 | $81K |
| Prescription drug | BLUECROSS BLUESHIELD OF TENNESSEE | 172 | $568K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 98 | $107K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 180 | — |
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.