Form 5500 · Employee benefit plan · CHATTANOOGA, TN
SIGNAL ENERGY, LLC
Public Form 5500 records show how SIGNAL ENERGY, LLC of CHATTANOOGA, TN, a mining and energy extraction employer, structures its employee benefits. Its broker of record is BRUCE SAMMIS. Coverage is written through BLUE CROSS AND BLUE SHIELD OF TENNESSEE, INC. and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-2649198 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF TENNESSEE, INC., covers 570 people.
Reported premium across the insured contracts is $4,553,530, with $180,558 in disclosed broker commissions — about 4% 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.
BRUCE SAMMIS is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing — BLUE CROSS AND BLUE SHIELD OF TENNESSEE, INC., LIFE INSURANCE COMPANY OF NORTH AMERICA, DELTA DENTAL OF TENNESSEE and CIGNA HEALTH AND LIFE INSURANCE COMPANY among them — with BLUE CROSS AND BLUE SHIELD OF TENNESSEE, INC. writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF TENNESSEE, INC. | Health | 570 | December | $3,942,420 | $120,058 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 258 | December | $276,941 | $27,694 |
| DELTA DENTAL OF TENNESSEE | Dental | 562 | December | $218,601 | $20,188 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 258 | December | $53,169 | $7,613 |
| VISION SERVICE PLAN | Vision | 243 | December | $49,939 | $5,005 |
| COMPSYCH | — | 599 | December | $12,460 | $0 |
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