| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DEBORAH FARMER SAMPLES3 Filed as: DEBORAH SAMPLES | 699 INDIAN RIVER BOAT DOCK RD JACKSBORO, TN 37757 | BLUE CROSS OF TENNESSEE | $62K | — | $62K | 11.92% |
| CARLA STINER REEL3 | 6500 PAPERMILL RD KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37K | $8K | $46K | 10.32% |
| MARY DAUGHERTY3 | 4639 WELLINGTON POINT LANE KNOXVILLE, TN 37938 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12K | $2K | $15K | 3.31% |
| DEBORAH FARMER SAMPLES3 | 699 INDIAN RIVER BOAT DOCK RD JACKSBORO, TN 37757 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12K | $0 | $12K | 2.65% |
| JOSEPH M TAMER3 | 6500 PAPERMILL DR KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $3K | $9K | 2.04% |
| NICHOLAS M WEISSFELD3 | 1309 KNIGHTBURG DR KNOXVILLE, TN 37918 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $969 | $3K | 0.79% |
| DEIRDRE B HOEHN3 | 30885 FRESH POND WAY OCEAN VIEW, DE 19970 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $268 | $0 | $268 | 0.06% |
| MARGARET M GRAHAM3 | 200 CROOKED CREEK DR ONEIDA, TN 37841 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $248 | $1 | $249 | 0.06% |
| WILLIAM KYZER3 | P O BOX 8213 HERMITAGE, TN 37076 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $130 | $0 | $130 | 0.03% |
| PAULA HARGIS3 | 101 WESLEY RD LENOIR CITY, TN 37772 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $40 | $2 | $42 | 0.01% |
| EDGEHILL ENTERPRISES LLC3 | 3403 E SEEBLING MILE RD GRAND ISLAND, NE 68801 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | $0 | $24 | 0.01% |
| DONNA ROSS SMITH3 | 2632 JUDES FERRY RD POWHATAN, VA 23139 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | $0 | $24 | 0.01% |
| VICTORIA PAULIN3 | 172 SUNRISE DR ELIZABETHTON, TN 37830 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| CARLA STINER REEL3 | 6500 PAPERMILL RD KNOXVILLE, TN 37919 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $159 | $3K | 4.54% |
| DEBORAH FARMER SAMPLES3 | 699 INDIAN RIVER BOAT DOCK RD JACKSBORO, TN 37757 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 1.64% |
| MARY DAUGHERTY3 | 4639 WELLINGTON POINT LANE KNOXVILLE, TN 37938 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $737 | $48 | $785 | 1.19% |
| JOSEPH M TAMER3 | 6500 PAPERMILL DR KNOXVILLE, TN 37919 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $627 | $99 | $726 | 1.10% |
| MARGARET M GRAHAM3 | 200 CROOKED DR ONEIDA, TN 37841 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $160 | $0 | $160 | 0.24% |
| PAULA HARGIS3 | 101 WESLEY RD LENIOR CITY, TN 37772 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $41 | $2 | $43 | 0.07% |
| NICHOLAS M WEISSFELD3 | 1309 KNIGHTSBRIDGE DR KNOXVILLE, TN 37922 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $16 | $6 | $22 | 0.03% |
| WILLIAM KYZER3 | P O BOX 8213 HERMITAGE, TN 37076 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10 | $0 | $10 | 0.02% |
| CARLA STINER REEL3 Filed as: CARLA S REEL | 6500 PAPERMILL RD STE 106 KNOXVILLE, SD 37919 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 10.50% |
| DEBORAH FARMER SAMPLES3 Filed as: DEBORAH F SAMPLES | 699 INDIAN RIVER BOAT DOCK RD JACKSBORO, TN 37757 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 4.50% |
| CARLA STINER REEL3 | 6500 PAPERMILL RD KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $158 | $2K | 6.77% |
| DEBORAH FARMER SAMPLES3 | 699 INDIAN RIVER BOAT DOCK RD JACKSBORO, TN 37757 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $731 | $0 | $731 | 2.81% |
| MARY DAUGHERTY3 | 4639 WELLINGTON POINT LANE KNOXVILLE, TN 37938 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $130 | $9 | $139 | 0.53% |
| JOSEPH M TAMER3 | 6500 PAPERMILL DR KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $118 | $0 | $118 | 0.45% |
| NICHOLAS M WEISSFELD3 | 1309 KNIGHTSBRIDGE DR KNOXVILLE, TN 37922 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $3 | $11 | 0.04% |
| THOMAS JENKINS PARKER3 Filed as: THOMAS WILSON GROUP LLC | 5214 MARYLAND WAY SUITE 303 BRENTWOOD, TN 37027 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 16.36% |
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 | 392 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 392 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 403 | $533K |
| Short-term disability(2 contracts) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 292 | $507K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 224 | $51K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS OF TENNESSEE | 540 | $518K |
| Other(3 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 292 | $519K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 540 | — |
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."
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.