Form 5500 · Employee benefit plan · MURFREESBORO, TN
LIVTECH PURCHASER, INC.
The filing calls this plan LIVTECH WELFARE BENEFITS PLAN.
LIVTECH PURCHASER, INC. of MURFREESBORO, TN is a 245-participant professional services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is RYAN GROSE. Coverage is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC. and 2 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-2647002 · plan 501 · plan year 2025, filed Oct 29, 2025
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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.
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 8 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF TENNESSEE, INC., covers 661 people.
Reported premium across the insured contracts is $2,215,754, with $99,619 in disclosed broker commissions — about 4.5% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
RYAN GROSE is the broker of record on 1 of the 8 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUECROSS BLUESHIELD OF TENNESSEE, INC., UNITED OF OMAHA LIFE INSURANCE COMPANY and PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD. BLUECROSS BLUESHIELD OF TENNESSEE, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | Health, Dental, Vision | 661 | May 1, 2025 | $2,078,198 | $78,905 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 81 | May 1, 2025 | $36,663 | $5,499 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 112 | May 1, 2025 | $36,650 | $5,498 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 250 | May 1, 2025 | $32,084 | $4,813 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 53 | May 1, 2025 | $11,612 | $1,742 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 66 | May 1, 2025 | $10,615 | $1,592 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 250 | May 1, 2025 | $5,932 | $890 |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | — | 21 | May 1, 2025 | $4,000 | $680 |
Premium and claims on this contract
BLUECROSS BLUESHIELD OF TENNESSEE, INC., contract 141706. For the contract year on this filing, the carrier reported $2,078,198 in premium earned and $2,033,710 in claims incurred. Dividing one by the other gives 98%.
- BLUECROSS BLUESHIELD OF TENNESSEE, INC., contract 141706 reported $421,427 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.
How this plan compares
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