| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: COWAN BENEFIT SERVICES INC. | 5110 MARYLAND WAY, SUITE 250 BRENTWOOD, TN 37027 | AETNA INSURANCE COMPANY | $21K | — | $21K | 1.83% |
| LOCKTON COMPANIES, LLC3 | 444 W. 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | AETNA INSURANCE COMPANY | $9K | — | $9K | 0.83% |
| ENROLLEASE3 Filed as: COWAN BENEFIT SERVICES INC. | 113 SEABOARD LANE, SUITE C170 FRANKLIN, TN 37067 | AETNA INSURANCE COMPANY | $9K | $449 | $9K | 0.81% |
| ENROLLEASE3 Filed as: COWAN BENEFIT SERVICES, INC. | 5110 MARYLAND WAY, SUITE 250 BRENTWOOD, TN 37027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | — | $8K | 7.61% |
| LOCKTON COMPANIES, LLC3 | P.O. BOX 505115 ST. LOUIS, MO 631505115 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 2.23% |
| ENROLLEASE3 Filed as: COWAN BENEFIT SERVICES, INC. | 113 SEABOARD LANE, SUITE C170 FRANKLIN, TN 37067 | DELTA DENTAL OF TENNESSEE | $6K | — | $6K | 7.73% |
| LOCKTON COMPANIES, LLC3 | THREE CITYPLACE DRIVE, SUITE 900 ST. LOUIS, ME 631417088 | DELTA DENTAL OF TENNESSEE | $2K | — | $2K | 2.27% |
| ENROLLEASE3 Filed as: COWAN BENEFIT SERVICE INC. | 5110 MARYLAND WAY, SUITE 250 BRENTWOOD, TN 37027 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 1 BURTON HILLS BLVD., SUITE 200 NASHVILLE, TN 372156104 | METROPOLITAN LIFE INSURANCE COMPANY | — | $43 | $43 | 0.34% |
| ENROLLEASE3 Filed as: COWAN BENEFIT SERVICES, INC. | 5110 MARYLAND WAY, SUITE 250 BRENTWOOD, TN 37027 | NGL | $959 | — | $959 | 7.75% |
| LOCKTON COMPANIES, LLC3 | 525 W. MONROE ST., SUITE 600 CHICAGO, IL 606613640 | NGL | $279 | — | $279 | 2.25% |
| JAMES G MCALISTER3 Filed as: JAMES G. MCALISTER | 4300 SIDCO DRIVE NASHVILLE, TN 37204 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $743 | $1K | $2K | 29.74% |
| ENROLLEASE3 Filed as: COWAN BENEFIT SERVICES INC. | 5110 MARYLAND WAY BRENTWOOD, TN 37027 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 21.06% |
| DEBBIE R CUNNINGHAM3 Filed as: DEBBIE R. CUNNINGHAM | 4006 WINDSONG TRAIL GREENBRIER, TN 37073 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $970 | $109 | $1K | 16.16% |
| BENEFIT ENROLLMENT SERVICES INC3 Filed as: BENEFIT ENROLLMENT SERVICES INC. | 4300 SIDCO DRIVE NASHVILLE, TN 37204 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $340 | $253 | $593 | 8.88% |
| DENNIS E TRAYWICK3 Filed as: DENNIS E. TRAYWICK | 4300 SIDCO DRIVE NASHVILLE, TN 37204 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $259 | $108 | $367 | 5.50% |
| LERMAN VENTURES INC3 Filed as: LERMAN VENTURES INC. | 2985 SURREY RIDGE ROAD CLARKSVILLE, TN 37043 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $146 | $59 | $205 | 3.07% |
| LOCKTON COMPANIES, LLC3 | 444 W. 47TH STREET, SUITE 900 KANSAS CITY, MO 641121906 | HARTFORD LIFE AND ACCIDENT | $113 | — | $113 | 15.07% |
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 | 108 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA INSURANCE COMPANY | 254 | $1.1M |
| Dental | DELTA DENTAL OF TENNESSEE | 254 | $80K |
| Vision | NGL | 190 | $12K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 108 | $113K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 99 | $100K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 99 | $100K |
| Other(4 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 108 | $120K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 254 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.