GOODWILL INDUSTRIES OF MIDDLE TENNESSEE, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN
401k plan membership statisitcs for GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN
| Measure | Date | Value |
|---|
| 2022: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 722 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 750 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 750 |
| 2021: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 684 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 722 |
| Total of all active and inactive participants | 2021-01-01 | 722 |
| 2020: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 811 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 684 |
| Total of all active and inactive participants | 2020-01-01 | 684 |
| 2017: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 1,413 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 1,048 |
| Total of all active and inactive participants | 2017-01-01 | 1,048 |
| 2016: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 1,502 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 1,413 |
| Total of all active and inactive participants | 2016-01-01 | 1,413 |
| 2015: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 1,369 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 1,502 |
| Total of all active and inactive participants | 2015-01-01 | 1,502 |
| 2014: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 1,172 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 1,369 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 1,369 |
| 2013: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 1,055 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 1,172 |
| Total of all active and inactive participants | 2013-01-01 | 1,172 |
| Total participants | 2013-01-01 | 0 |
| 2012: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 870 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 1,055 |
| Total of all active and inactive participants | 2012-01-01 | 1,055 |
| Total participants | 2012-01-01 | 0 |
| 2011: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 804 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 870 |
| Total of all active and inactive participants | 2011-01-01 | 870 |
| Total participants | 2011-01-01 | 870 |
| 2009: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 727 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 733 |
| Total of all active and inactive participants | 2009-01-01 | 733 |
| Total participants | 2009-01-01 | 733 |
| 2022: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP TERM LIFE, ACCIDENTAL DEATH AND DISMEMBERMEN SHORT-TERM DISABILITY AND DENTAL PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 115638 |
| Policy instance | 4 |
| Insurance contract or identification number | 115638 | | Number of Individuals Covered | 648 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $10,000 | | Other welfare benefits provided | STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,000 | | Insurance broker organization code? | 3 |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 12397000 |
| Policy instance | 3 |
| Insurance contract or identification number | 12397000 | | Number of Individuals Covered | 381 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $16,469 | | Total amount of fees paid to insurance company | USD $14,079 | | Other welfare benefits provided | CRITICAL ILLNESS; ACCIDENT | | Welfare Benefit Premiums Paid to Carrier | USD $80,989 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 14079 | | Additional information about fees paid to insurance broker | EXPENSE ALLOWANCE | | Insurance broker organization code? | 3 | | Commission paid to Insurance Broker | USD $9,106 |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 01-017090-00 |
| Policy instance | 2 |
| Insurance contract or identification number | 01-017090-00 | | Number of Individuals Covered | 750 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $7,121 | | Total amount of fees paid to insurance company | USD $8,659 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | STOP LOSS | | Welfare Benefit Premiums Paid to Carrier | USD $284,846 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,121 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 6975 | | Additional information about fees paid to insurance broker | GROUP VOLUME BONUS |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 115638 |
| Policy instance | 1 |
| Insurance contract or identification number | 115638 | | Number of Individuals Covered | 549 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,658 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 01-0017090-00 |
| Policy instance | 3 |
| Insurance contract or identification number | 01-0017090-00 | | Number of Individuals Covered | 687 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $6,255 | | Total amount of fees paid to insurance company | USD $1,095 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $263,090 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,255 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1095 |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 115638 |
| Policy instance | 2 |
| Insurance contract or identification number | 115638 | | Number of Individuals Covered | 722 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $23,984 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 115638 |
| Policy instance | 1 |
| Insurance contract or identification number | 115638 | | Number of Individuals Covered | 668 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $10,000 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | STOP LOSS | | Welfare Benefit Premiums Paid to Carrier | USD $743,240 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,000 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 115638 |
| Policy instance | 2 |
| Insurance contract or identification number | 115638 | | Number of Individuals Covered | 684 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,951 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 115638 |
| Policy instance | 1 |
| Insurance contract or identification number | 115638 | | Number of Individuals Covered | 684 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 115368 |
| Policy instance | 3 |
| Insurance contract or identification number | 115368 | | Number of Individuals Covered | 1048 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,374 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 ) |
| Policy contract number | 115638 |
| Policy instance | 2 |
| Insurance contract or identification number | 115638 | | Number of Individuals Covered | 1048 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $10,000 | | Health Insurance Welfare Benefit | Yes | | Other welfare benefits provided | STOP LOSS | | Welfare Benefit Premiums Paid to Carrier | USD $667,691 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 10000 | | Additional information about fees paid to insurance broker | ACQ/RET | | Insurance broker organization code? | 3 | | Insurance broker name | DAVID L SOUERS |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 01-017090-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 01-017090-00 | | Number of Individuals Covered | 967 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $6,074 | | Total amount of fees paid to insurance company | USD $2,329 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $245,765 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,074 | | Additional information about fees paid to insurance broker | N/A | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 2329 | | Insurance broker name | WILLIS OF TENNESSEE INC |
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