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Form 5500 · Employee benefit plan · TULLAHOMA, TN

AMENTUM TECHNOLOGY, INC.

AMENTUM TECHNOLOGY, INC. of TULLAHOMA, TN is a 1,089-participant professional services employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is DIGITAL INSURANCE INC.. Coverage is written through BLUE CROSS AND BLUE SHIELD OF ALABAMA and 20 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
DIGITAL INSURANCE INC.
Insurance carrier
STANDARD INSURANCE COMPANY
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-0510412 · plan 501 · as of Aug 2026

Participants
1,089
Carriers on file
38
Disclosed commissions
$357,716
Renewal month
December

Plan brief

Schedule A lists 38 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with BLUE CROSS AND BLUE SHIELD OF ALABAMA, covers 770 people.

The medical plan carries stop-loss coverage, which usually signals a self-funded health plan with insured protection against large claims.

Reported premium across the insured contracts is $12,261,564, with $357,716 in disclosed broker commissions — about 2.9% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

DIGITAL INSURANCE INC. is the broker of record on 14 of the 38 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
STANDARD INSURANCE COMPANY—1,247December$896,551$134,483
CONTINENTAL AMERICAN INSURANCE COMPANY—462December$343,654$91,422
STANDARD INSURANCE COMPANYDisability1,227December$360,176$54,026
PRUDENTIAL INSURANCE COMPANY OF AMERICALife15,619December$1,741,269$17,413
STANDARD INSURANCE COMPANY—122December$65,721$9,858
STANDARD INSURANCE COMPANY—113December$63,352$9,503
STANDARD INSURANCE COMPANY—85December$54,554$8,183
AFLAC—164December$61,161$6,359
STANDARD INSURANCE COMPANYDisability121December$32,925$4,939
HARTFORD ACCIDENT AND LIFE INSURANCE COMPANY—387December$143,971$4,339
STANDARD INSURANCE COMPANY—75December$19,419$2,913
STANDARD INSURANCE COMPANYDisability48December$19,131$2,870
STANDARD INSURANCE COMPANYDisability85December$16,483$2,472
STANDARD INSURANCE COMPANYLife143December$23,080$2,320
STANDARD INSURANCE COMPANY—142December$23,190$2,319
BOSTON MUTUAL LIFE INSURANCE COMPANYLife137December$27,420$1,347
STANDARD INSURANCE COMPANYDisability49December$7,420$1,113
STANDARD INSURANCE COMPANYLife84December$7,308$1,106
STANDARD INSURANCE COMPANYDisability24December$5,380$538
BOSTON MUTUAL LIFE INSURANCE COMPANYLife39December$7,266$367
KAISER FOUNDATION HEALTH PLAN, INC.Health0December—$0
RELIASTAR LIFE INSURANCE COMPANYStop-loss18,308December—$0
KAISER FOUNDATION HEALTH PLAN OF COLORADOHealth108December$209,210$0
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.Health6December$9,897$0
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth0December—$0
VISION SERVICE PLANVision6,744December$539,412$0
BLUE CARE NETWORK OF MICHIGANHealth257December$1,295,770$0
BLUE CROSS AND BLUE SHIELD OF ALABAMAHealth770December$2,515,903$0
BLUE CROSS AND BLUE SHIELD OF ALABAMAHealth609December$1,581,500$0
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental137December$1,065,012$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.Health6December$18,742$0
METROPOLITAN GENERAL INSURANCE COMPANY—4,252December$226,282$0
KAISER FOUNDATION HEALTH PLAN, INC.Health28December$40,336$0
KAISER FOUNDATION HEALTH PLAN, INC.Health63December$165,484$0
UNITED BEHAVIORAL HEALTH DBA OPTUM—16,311December$154,479$0
HMSA HEALTH PLANHealth0December—$0
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.Health134December$248,007$0
LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability2,759December$272,099$-174

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