Form 5500 · Employee benefit plan · KINGSPORT, TN
GOODWILL INDUSTRIES OF TENNEVA INC
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 · as of Aug 2026
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 — UNITEDHEALTHCARE INSURANCE COMPANY, DELTA DENTAL OF TENNESSEE, THE GUARDIAN LIFE INSURANCE COMPANY and BLUECROSS BLUESHIELD OF TENNESSEE, INC. — with UNITEDHEALTHCARE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 91 | December | $1,135,612 | $47,355 |
| THE GUARDIAN LIFE INSURANCE COMPANY | Life | 217 | December | $59,842 | $15,482 |
| DELTA DENTAL OF TENNESSEE | Dental | 168 | December | $60,827 | $5,927 |
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | Vision | 118 | December | $10,182 | $1,008 |
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