Form 5500 · Employee benefit plan · ATHENS, TN
ATHENS UTILITIES BOARD
The filing calls this plan ATHENS UTILITIES BOARD EMPLOYEE BENEFIT PLAN.
Public Form 5500 records show how ATHENS UTILITIES BOARD of ATHENS, TN, a utilities employer, structures its employee benefits. Its broker of record is P & C RISK SERVICES, LLC. Coverage is written through TOKIO MARINE and 1 other carrier. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-6000241 · plan 501 · plan year 2025, filed Apr 15, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
All 2 insured contracts are life coverage, split across TOKIO MARINE and FORT DEARBORN LIFE INSURANCE COMPANY.
The filing declares life, health and dental. Health and dental appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.
Reported premium is $263,510; the filing discloses no broker commission on these contracts.
The most recent policy period ended in January, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
P & C RISK SERVICES, LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| TOKIO MARINE | — | 115 | Jan 2, 2026 | $258,221 | $0 |
| FORT DEARBORN LIFE INSURANCE COMPANY | Life | — | Jan 2, 2026 | $5,289 | $0 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.
How this plan compares
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