Form 5500 · Employee benefit plan · KINGSPORT, TN
GOODWILL INDUSTRIES OF TENNEVA INC
The filing calls this plan GOODWILL INDUSTRIES OF TENNEVA INC EMPLOYEE BENEFITS PLAN.
GOODWILL INDUSTRIES OF TENNEVA INC of KINGSPORT, TN insures health, dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BROWN & BROWN OF TENNESSEE INC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-7217515 · plan 501 · plan year 2025, filed Jul 17, 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
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.
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 4 insured contracts covering health, dental, vision and life; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 91 people.
Reported premium across the insured contracts is $1,266,463, with $69,772 in disclosed broker commissions — about 5.5% 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.
BROWN & BROWN OF TENNESSEE INC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, DELTA DENTAL OF TENNESSEE, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and BLUECROSS BLUESHIELD OF TENNESSEE, INC.. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 91 | Jan 1, 2026 | $1,135,612 | $47,355 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life | 217 | Jan 1, 2026 | $59,842 | $15,482 |
| DELTA DENTAL OF TENNESSEE | Dental | 168 | Jan 1, 2026 | $60,827 | $5,927 |
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | Vision | 118 | Jan 1, 2026 | $10,182 | $1,008 |
Premium and claims on this contract
DELTA DENTAL OF TENNESSEE, contract 7432. For the contract year on this filing, the carrier reported $60,827 in premium earned and $29,967 in claims incurred. Dividing one by the other gives 49%.
- DELTA DENTAL OF TENNESSEE, contract 7432 reported $16,727 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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