Plan Ledger DOL Form 5500 · updated monthly

Old Time Pottery, Inc.benefits

Old Time Pottery, Inc. Health Plan · MURFREESBORO, TN · plan year 2023

Broker compensation reported · 2023
$110,668

Old Time Pottery, Inc.'s benefits plan covered 0 active participants in 2023, providing health · life · dental · vision · short-term disability · long-term disability · other. Insurance premiums totaled $1,362,972. Insurance brokers and agents were paid $110,668 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That works out to 8.1% of premiums.

Insurance contracts · 20237
BLUECROSS BLUESHIELD OF TENNESSEE, INC. · health$1.2M · 160 covered
DELTA DENTAL OF TENNESSEE · dental$100K · 349 covered
VISION SERVICE PLAN · vision$22K · 219 covered
UNITED OF OMAHA LIFE INSURANCE COMPANY · lifepremiums n/a · 90 covered
UNITED OF OMAHA LIFE INSURANCE COMPANY · ltdpremiums n/a · 47 covered
UNITED OF OMAHA LIFE INSURANCE COMPANY · stdpremiums n/a · 63 covered
MADISON NATIONAL LIFE · healthpremiums n/a · 43 covered
Brokers & agents paid · 20238
ERIC JACOBSON$85,356 · incl $42,678 fees
MGU UNDERWRITING FEE$2,480

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 621249062 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.