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Form 5500 · Employee benefit plan · NASHVILLE, TN

CARDIOVASCULAR ANESTHESIOLOGISTS, PC

The filing calls this plan CARDIOVASCULAR ANESTHESIOLOGISTS HEALTH AND WELFARE PLAN.

CARDIOVASCULAR ANESTHESIOLOGISTS, PC of NASHVILLE, TN is a 108-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is APRIL P. ASHBURN. Coverage is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC. and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-1184496 · plan 502 · plan year 2025, filed Aug 31, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
108
Active at start of year
105
Active at end of year
118
Disclosed commissions
$63,845
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BLUECROSS BLUESHIELD OF TENNESSEE, INC.189 of 108 participants
Dentalinsured — BLUECROSS BLUESHIELD OF TENNESSEE, INC.189 of 108 participants
Visioninsured — BLUECROSS BLUESHIELD OF TENNESSEE, INC.189 of 108 participants
Lifenot declared on this filing
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA109 of 108 participants

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

Schedule A lists 2 insured contracts covering health, dental, vision and disability; the largest, with BLUECROSS BLUESHIELD OF TENNESSEE, INC., covers 189 people.

Reported premium across the insured contracts is $1,146,573, with $63,845 in disclosed broker commissions — about 5.6% 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.

APRIL P. ASHBURN is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.

Two carriers split the book: BLUECROSS BLUESHIELD OF TENNESSEE, INC. and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUECROSS BLUESHIELD OF TENNESSEE, INC.Health, Dental, Vision189Jan 1, 2026$996,098$42,243
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADisability109Jan 1, 2026$150,475$21,602

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
CARDIOVASCULAR ANESTHESIOLOGISTS, PC
EIN 62-1184496

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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