Form 5500 · Employee benefit plan · GOODLETSVILLE, TN
BOARD OF TRUSTEES-SHEET METAL LOCAL 110 HEALTH FUND
BOARD OF TRUSTEES-SHEET METAL LOCAL 110 HEALTH FUND of GOODLETSVILLE, TN spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is R H CLARKSON FINANCIAL. Coverage is written through ANTHEM BLUE CROSS BLUE SHIELD and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 55-0711972 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering health, dental and life; the largest, with ANTHEM BLUE CROSS BLUE SHIELD, covers 894 people.
Reported premium across the insured contracts is $14,035,340, with $310,293 in disclosed broker commissions — about 2.2% of premium.
The health contract's policy period ended in December, while at least one ancillary line renews in June — the plan is on a split renewal cycle.
R H CLARKSON FINANCIAL is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing — ANTHEM BLUE CROSS BLUE SHIELD, HUMANA INSURANCE COMPANY, DELTA DENTAL and PRUDENTIAL INSURANCE COMPANY — with ANTHEM BLUE CROSS BLUE SHIELD writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM BLUE CROSS BLUE SHIELD | Health | 894 | December | $12,348,155 | $303,820 |
| PRUDENTIAL INSURANCE COMPANY | Life | 1,107 | June | $129,458 | $6,473 |
| HUMANA INSURANCE COMPANY | Health | 279 | December | $1,002,465 | $0 |
| DELTA DENTAL | Dental | 2,376 | December | $555,262 | $0 |
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