Form 5500 · Employee benefit plan · NEWPORT, TN
SMOKY MOUNTAIN HOME HEALTH AND HOSPICE, INC.
SMOKY MOUNTAIN HOME HEALTH AND HOSPICE, INC. of NEWPORT, TN is a 168-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is RICK METZELDER. Coverage is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC. and 2 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-1569683 · plan 501 · plan year 2025, filed Oct 28, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
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.
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF TENNESSEE, INC., covers 239 people.
Reported premium across the insured contracts is $1,611,769, with $119,000 in disclosed broker commissions — about 7.4% of premium.
The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
RICK METZELDER is the broker of record on 1 of the 3 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 ONE TO ONE HEALTH. 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 | 239 | Jun 1, 2025 | $1,354,074 | $81,943 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 162 | Jun 1, 2025 | $236,335 | $37,057 |
| ONE TO ONE HEALTH | — | 178 | Jun 1, 2025 | $21,360 | $0 |
Premium and claims on this contract
BLUECROSS BLUESHIELD OF TENNESSEE, INC., contract 133912. For the contract year on this filing, the carrier reported $1,354,074 in premium earned and $1,361,975 in claims incurred. Dividing one by the other gives 101%.
- BLUECROSS BLUESHIELD OF TENNESSEE, INC., contract 133912 reported $235,957 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.
Other plans filed by this employer
How this plan compares
Subscribers see how this compares with similar plans in Tennessee. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
More employer plans in Tennessee — largest plans, brokers, carriers and renewal months.