# MIDDLE TENNEESSEE LUMBER COMPANY, LLC. EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **MIDDLE TENNEESSEE LUMBER COMPANY, LLC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | MIDDLE TENNEESSEE LUMBER COMPANY, LLC. |
| EIN | 581757522 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | BURNS, TN |
| Industry | building materials |
| Funding | mixed |
| Total premiums | $420K |
| Participants | 115 |
| Persons covered | 151 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| ZURICH AMERICAN INSURANCE COMPANY | Stop-loss |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, Other |
| AFLAC | Indemnity, Other |
| DELTA DENTAL OF TENNESSEE | Dental, Vision |

## Brokers

| Broker | Placed with |
|---|---|
| TAD BENEFITS LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| TAD BENEFITS LLC | AFLAC |
| DIGITAL INSURANCE LLC | AFLAC |
| JAIME HUTTON | AFLAC |
| PETER JOHN REGINELLI | AFLAC |
| AARON SPELZHAUS | AFLAC |
| JORDAN S SMITH | AFLAC |
| JOANNA G MATHERLY | AFLAC |
| MIA SIMMONS | AFLAC |
| LARA K GRANDE | AFLAC |
| THOMAS M WILLIAMSON | AFLAC |
| WILLIAM AKINES | AFLAC |
| KELSEY DAVID EVERT | AFLAC |
| VICTORIA C RIFE | AFLAC |
| BARRY CAMPBELL | AFLAC |
| JAMES C FARMER JR | AFLAC |
| RAFAEL ANTONIO GUTIERREZ | AFLAC |
| DAVID M CRUMLEY | AFLAC |
| H BRIAN GIBSON | AFLAC |
| ALAN W FOSTER | AFLAC |
| ANASTASIA MODLIN | AFLAC |
| STEVEN ANDREW MODLIN | AFLAC |
| KRISTIN L LATTREL | AFLAC |
| DAVID DANIEL | AFLAC |
| RACHEL BUNN | AFLAC |
| TAD BENEFITS LLC DBA OAKMONT | DELTA DENTAL OF TENNESSEE |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/581757522-501
- Cite as: PlanOptica, https://planoptica.com/welfare/581757522-501
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