Form 5500 · Employee benefit plan · PIGEON FORGE, TN
TENNESSEE STATE BANK
TENNESSEE STATE BANK's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is DOUGLAS FREEMAN. Coverage is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC. and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 62-0866803 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | Health, Dental | 347 | December | $56,659 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 215 | December | $13,664 |
| VISION SERVICE PLAN | Vision | 199 | December | $1,203 |
Questions
Who is TENNESSEE STATE BANK's benefits broker?
Per its most recent Form 5500 Schedule A, TENNESSEE STATE BANK's broker of record is DOUGLAS FREEMAN.
What insurance carrier does TENNESSEE STATE BANK use?
TENNESSEE STATE BANK's benefit plan is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC., among 3 disclosed carriers.
When does TENNESSEE STATE BANK's group plan renew?
The most recent Schedule A policy period for TENNESSEE STATE BANK ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from TENNESSEE STATE BANK's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.