Form 5500 · Employee benefit plan · LAWRENCEBURG, TN
F9 OPERATIONS INC.
The filing calls this plan F9 OPERATIONS INC. BENEFIT PLAN.
F9 OPERATIONS INC. of LAWRENCEBURG, TN is a 1,219-participant professional services employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is CBIZ BENEFITS & INSURANCE SERVICES. Coverage is written through DELTA DENTAL OF TENNESSEE and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-3236087 · plan 501 · plan year 2025, filed Mar 13, 2026
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1,160 other employer plans in Tennessee have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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
4 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: prepaid legal, other welfare.
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 10 insured contracts covering dental, vision, life and disability; the largest, with DELTA DENTAL OF TENNESSEE, covers 1,490 people.
The filing declares dental, vision, life, disability and health. Health appears 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 one of the 4 contracts here that do not say what they cover.
Reported premium across the insured contracts is $1,694,595, with $229,722 in disclosed broker commissions — about 14% 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.
CBIZ BENEFITS & INSURANCE SERVICES is the broker of record on all 10 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF TENNESSEE | Dental | 1,490 | Jan 1, 2026 | $527,265 | $53,279 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 567 | Jan 1, 2026 | $237,285 | $35,593 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 713 | Jan 1, 2026 | $156,390 | $23,458 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 1,289 | Jan 1, 2026 | $228,098 | $22,810 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 503 | Jan 1, 2026 | $97,188 | $21,381 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 586 | Jan 1, 2026 | $142,519 | $21,378 |
| WELLFLEET INSURANCE COMPANY | — | 888 | Jan 1, 2026 | $71,057 | $17,765 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 570 | Jan 1, 2026 | $74,701 | $14,940 |
| DELTA DENTAL OF TENNESSEE | Vision | 1,320 | Jan 1, 2026 | $117,053 | $11,801 |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | — | 223 | Jan 1, 2026 | $43,039 | $7,317 |
Premium and claims on these contracts
DELTA DENTAL OF TENNESSEE, contract 8438. For the contract year on this filing, the carrier reported $526,892 in premium earned and $330,972 in claims incurred. Dividing one by the other gives 63%.
DELTA DENTAL OF TENNESSEE, contract V8438. For the contract year on this filing, the carrier reported $117,053 in premium earned and $74,188 in claims incurred. Dividing one by the other gives 63%.
- DELTA DENTAL OF TENNESSEE, contract 8438 reported $113,282 in retention.
- DELTA DENTAL OF TENNESSEE, contract V8438 reported $37,854 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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. We publish company names only.
Other plans filed by this employer
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Renewal calendar
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