Form 5500 · Employee benefit plan · NASHVILLE, TN
NASHVILLE HOCKEY CLUB, LP
The filing calls this plan NASHVILLE HOCKEY CLUB, LP EMPLOYEE BENEFITS PLAN.
NASHVILLE HOCKEY CLUB, LP of NASHVILLE, TN files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is AUSTIN L MADISON. Coverage is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC. and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-1696563 · plan 501 · plan year 2025, filed Jan 16, 2026
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95 other employer plans in Tennessee have policy years ending in June. 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.
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 7 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF TENNESSEE, INC., covers 270 people.
Reported premium across the insured contracts is $3,057,996, with $131,806 in disclosed broker commissions — about 4.3% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
AUSTIN L MADISON is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUECROSS BLUESHIELD OF TENNESSEE, INC., DELTA DENTAL OF TENNESSEE, LIFE INSURANCE COMPANY OF NORTH AMERICA and VISION SERVICE PLAN. 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 | 270 | Jul 1, 2025 | $2,668,374 | $83,657 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 318 | Jul 1, 2025 | $94,947 | $17,643 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 318 | Jul 1, 2025 | $69,960 | $13,083 |
| DELTA DENTAL OF TENNESSEE | Dental | 501 | Jul 1, 2025 | $161,343 | $8,067 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 318 | Jul 1, 2025 | $21,976 | $5,529 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 318 | Jul 1, 2025 | $13,314 | $2,480 |
| VISION SERVICE PLAN | Vision | 218 | Jul 1, 2025 | $28,082 | $1,347 |
Premium and claims on these contracts
BLUECROSS BLUESHIELD OF TENNESSEE, INC., contract 142635. For the contract year on this filing, the carrier reported $2,668,374 in premium earned and $2,525,110 in claims incurred. Dividing one by the other gives 95%.
DELTA DENTAL OF TENNESSEE, contract 3781. For the contract year on this filing, the carrier reported $161,343 in premium earned and $121,625 in claims incurred. Dividing one by the other gives 75%.
- BLUECROSS BLUESHIELD OF TENNESSEE, INC., contract 142635 reported $459,494 in retention.
- DELTA DENTAL OF TENNESSEE, contract 3781 reported $27,428 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: 343 employees, 1 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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Renewal calendar
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