# PREMIER MEDICAL GROUP, PC. EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **PREMIER MEDICAL GROUP, PC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PREMIER MEDICAL GROUP, PC |
| EIN | 621586159 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | CLARKSVILLE, TN |
| Industry | medical practice |
| Funding | mixed |
| Total premiums | $1.3M |
| Participants | 277 |
| Persons covered | 198 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| GREAT MIDWEST INSURANCE COMPANY | Stop-loss |
| BCBS OF TENNESSEE | Dental, Vision |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, Other, STD, LTD |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| THOMAS A DAMPF | BLUECROSS BLUESHIELD OF TENNESSEE, INC. |
| TAD BENEFITS LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| PROFESSIONAL GROUP PLANS INC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| TAD BENEFITS LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |

## 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/621586159-501
- Cite as: PlanOptica, https://planoptica.com/welfare/621586159-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers