Corecivic of Tennessee, LLC
Overview
Corecivic of Tennessee, LLC sponsors a self-funded health plan that covered 4,692 participants in plan year 2024. The plan year starts in April. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 4,692
- Plan year
- Begins April 1 · next renewal April 2027
- Health plans filed
- Corecivic of Tennessee, LLC SCA Employee Benefit Plan, plan 507 (4,692 participants)
- Stop-loss carrier
- Reliastar Life Insurance Company
- Broker compensation
- $3.1M across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Aetna Life Insurance Company | Medical, Vision | 4,358 | $15.0M | $2.6M |
| Hartford Life and Accident | Life, Short-term disability, Long-term disability | 8,127 | $6.9M | $155K |
| Delta Dental Plan of Tennessee | Dental | 11,711 | $3.2M | $160K |
| Bluecross Blueshield of Tennessee, Inc. | Medical, Prescription drug, PPO | 251 | $1.8M | $39K |
| Reliastar Life Insurance Company | Stop-loss | 2,519 | $972K | $146K |
| Metropolitan Life Insurance Company | Vision | 10,530 | $866K | $50 |
| Transamerica Life Insurance Company | Medical | 156 | $115K | $22K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 4,692 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2024
- Plan sponsor
- Corecivic of Tennessee, LLC
- Sponsor EIN
- 62-1806755
- Plan number
- 507
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 62-1806755 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Corecivic of Tennessee, LLC's Form 5500 filing for plan year 2024 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Corecivic of Tennessee, LLC.


