BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Tennessee Retina MSO LLC

Healthcare & social assistance · Nashville, Tennessee · EIN ending 8903

Updated Filing received by DOL

Tennessee Retina MSO LLC, a healthcare & social assistance employer in Nashville, Tennessee, reported 187 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 2 insurance contracts with no premium reported and $88,831 in broker commissions and fees. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on November 18, 2025, before the deadline.

Participants
187
+39.6% vs 2023
Premiums filed
none
premium not reported on 1 medical contract
Broker commissions + fees
$88,831
+21.4% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Tennessee Retina MSO LLC's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Tennessee Retina MSO LLC filed for 2024.

Broker or agentCommissionsFeesTotalContracts
USI Insurance Services · San Antonio, TX$49,751$39,080$88,8312

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Unitedhealthcare Insurance Companyhealth, prescription drug210—$39,080—
Sun Life Assurance Company of Canadadental, vision, life, short-term disability, long-term disability, indemnity193—$49,751—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Tennessee Retina MSO LLC compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Tennessee Retina MSO LLC
$88,831
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$73,194$88,831Broker pay20232024
Tennessee Retina MSO LLC: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants134187+39.6%
Premiums filed$0$0not comparable
Broker commissions + fees$73,194$88,831+21.4%
Commission rate———

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Tennessee Retina MSO LLC Employee Benefits Plan#501 · insurance, general assetsJune 30, 2025November 18, 2025before deadline187

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Tennessee Retina MSO LLC pay in health insurance broker commissions in 2024?

Tennessee Retina MSO LLC's 2024 Form 5500 reports $88,831 in broker commissions and fees across 2 insurance contracts ($49,751 in commissions, $39,080 in fees), with USI Insurance Services receiving the largest share.

Is Tennessee Retina MSO LLC's health plan self-funded or fully insured?

The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Unitedhealthcare Insurance Company.

How does Tennessee Retina MSO LLC's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Tennessee Retina MSO LLC because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 100-199 participants that disclosed broker pay reported a median of $53,852.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.