Form 5500 · Employee benefit plan · CHATTANOOGA, TN
MILLER & MARTIN PLLC
The filing calls this plan MILLER & MARTIN FLEXIBLE BENEFITS PLAN.
MILLER & MARTIN PLLC of CHATTANOOGA, TN insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is RUSS BLAKELY. Coverage is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC. and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-0449014 · plan 501 · plan year 2024, filed Oct 9, 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: death benefits, 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 13 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF TENNESSEE, INC., covers 279 people.
Reported premium across the insured contracts is $1,027,882, with $106,152 in disclosed broker commissions — about 10% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in January. The plan is on a split renewal cycle.
RUSS BLAKELY is the broker of record on 1 of the 13 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including BLUECROSS BLUESHIELD OF TENNESSEE, INC., UNUM LIFE INSURANCE COMPANY OF AMERICA, PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA. 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 | 279 | Jan 1, 2025 | $560,887 | $74,830 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 161 | Jan 2, 2025 | $160,236 | $6,603 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 242 | Feb 2, 2025 | $35,630 | $5,823 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 174 | Jan 2, 2025 | $158,206 | $5,230 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 38 | Jan 2, 2025 | $29,933 | $4,665 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 9 | Jan 2, 2025 | $18,796 | $2,827 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 26 | Jan 2, 2025 | $24,657 | $2,315 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Vision | 96 | Jan 1, 2025 | $18,465 | $1,846 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 15 | Jan 2, 2025 | $6,884 | $794 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Disability | 28 | Jan 2, 2025 | $8,159 | $521 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Disability | 1 | Jan 2, 2025 | $2,628 | $368 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 175 | Jul 10, 2024 | $950 | $285 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Disability | 1 | Jan 2, 2025 | $2,451 | $45 |
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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