Form 5500 · Employee benefit plan · NASHVILLE, TN
GOODWILL INDUSTRIES OF MIDDLE TENNESSEE, INC.
The filing calls this plan GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT SHORT-TERM DISABILITY AND DENTAL PLAN.
GOODWILL INDUSTRIES OF MIDDLE TENNESSEE, INC. of NASHVILLE, TN is a 770-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HUB INTERNATIONAL MIDWEST LTD. Coverage is written through BLUERE OF TENNESSEE and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-0599413 · plan 501 · plan year 2024, filed Oct 15, 2025
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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
Also declared: 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.
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 5 insured contracts covering dental, vision, life and disability; the largest, with BLUERE OF TENNESSEE, covers 769 people.
Reported premium across the insured contracts is $1,463,370, with $37,479 in disclosed broker commissions — about 2.6% 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.
HUB INTERNATIONAL MIDWEST LTD is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including BLUERE OF TENNESSEE, HARTFORD LIFE AND ACCIDENT, DELTA DENTAL OF TENNESSEE and BLUECROSS BLUESHIELD OF TENNESSEE, INC.. BLUERE OF TENNESSEE writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 953 | Jan 1, 2025 | $415,136 | $27,479 |
| BLUERE OF TENNESSEE | — | 769 | Jan 1, 2025 | $785,733 | $10,000 |
| DELTA DENTAL OF TENNESSEE | Dental | 836 | Jan 1, 2025 | $212,272 | $0 |
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | Vision | 770 | Jan 1, 2025 | $28,092 | $0 |
| LIFESERVICES EAP | — | 770 | Jan 1, 2025 | $22,137 | $0 |
Premium and claims on this contract
DELTA DENTAL OF TENNESSEE, contract 8604. For the contract year on this filing, the carrier reported $212,272 in premium earned and $158,998 in claims incurred. Dividing one by the other gives 75%.
- DELTA DENTAL OF TENNESSEE, contract 8604 reported $24,412 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.
Reported to OSHA
Reported to OSHA for 2025: 1,614 employees, 26 recordable cases, 166 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
One establishment filed under this EIN is left out of these figures: the hours and employees it reported could not both be right.
Other plans filed by this employer
How this plan compares
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Renewal calendar
1,160 other employer plans in Tennessee are January 1 renewals (policy year ends December).
Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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