Form 5500 · Employee benefit plan · MCMINNVILLE, TN
TENNSMITH HOLDINGS, INC.
TENNSMITH HOLDINGS, INC. of MCMINNVILLE, TN spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is RYAN ROTHROCK. 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 86-3624328 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF TENNESSEE INC., covers 143 people.
Reported premium across the insured contracts is $934,214, with $59,395 in disclosed broker commissions — about 6.4% 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.
RYAN ROTHROCK is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
3 carriers appear on the filing — BLUECROSS BLUESHIELD OF TENNESSEE INC., PRINCIPAL LIFE INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY — with BLUECROSS BLUESHIELD OF TENNESSEE INC. writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF TENNESSEE INC. | Health | 143 | December | $828,164 | $44,099 |
| PRINCIPAL LIFE INSURANCE COMPANY | Dental, Vision | 132 | December | $53,215 | $7,371 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 139 | December | $14,493 | $2,174 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 24 | December | $14,160 | $2,124 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 29 | December | $13,706 | $2,056 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 27 | December | $10,476 | $1,571 |
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