# HEALTH & WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **MICHAEL DUNN CENTER**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | MICHAEL DUNN CENTER |
| EIN | 620851179 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | KINGSTON, TN |
| Industry | individual & family services |
| Funding | fully insured |
| Total premiums | $1.4M |
| Participants | 229 |
| Persons covered | 229 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BCBS OF TENNESSEE | Health, Rx, Dental, Vision |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, Other |

## Brokers

| Broker | Placed with |
|---|---|
| ROBERT PEACE | BLUECROSS BLUESHIELD OF TENNESSEE, INC. |
| THE BALDWIN GROUP WEST LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| BALDWIN KRYSTYN SHERMAN PARTNERS | UNITED OF OMAHA LIFE INSURANCE COMPANY |

## 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/620851179-503
- Cite as: PlanOptica, https://planoptica.com/welfare/620851179-503
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers