Form 5500 · Employee benefit plan · CHATTANOOGA, TN
CHATTANOOGA GOODWILL INDUSTRIES INC.
CHATTANOOGA GOODWILL INDUSTRIES INC. of CHATTANOOGA, TN insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is RYAN ROTHROCK. Coverage is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC. and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-0544853 · plan 505 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF TENNESSEE, INC., covers 138 people.
Reported premium across the insured contracts is $1,175,119, with $76,066 in disclosed broker commissions — about 6.5% 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.
RYAN ROTHROCK 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
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | Health | 138 | December | $1,006,020 | $55,525 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 273 | December | $169,099 | $20,541 |
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