Civic Intelligence

Tennessee Self-Insurers' Guaranty Association

EIN 99-5014821 • 501(c)6 • Nashville, TN

1320 Adams Street 1600Nashville, TN 37208

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2024

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2024

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2024

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

501(c)6 • <$500k nonprofits • Source year 2024

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2024

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2024

Assets

$0

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Net Assets

$0

No earlier filing loaded for comparison.

Revenue

$0

No earlier filing loaded for comparison.

Expenses

$0

No earlier filing loaded for comparison.

Net Income

$0

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$0Assets 2024: $0Liabilities 2024: $0Net Assets 2024: $02024

Highlighted filing

2024

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$0Revenue 2024: $0Expenses 2024: $0Net Income 2024: $02024

Highlighted filing

2024

Revenue$0
Expenses$0
Net Income$0

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 9, 2024 to Dec 31, 2024
Signed
Oct 22, 2025
Return Version
2024v5.2
Gross Receipts
$0
Mission and Program Overview

Mission

SEE SCHEDULE O.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$0$0→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$0$0→ $0
Compensation and Service Providers

Board Members and Trustees

NameTitle
Rob BehnkeChairman/director
Bailey PipkinDirector
Bradley JacksonExecutive Director
Connie DownumSecretary/director
Steven LoradyTreasurer/director
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The organization has five (5) members who serve as the board of directors. The board of directors is composed of a chairman, treasurer, secretary, executive director, and one (1) director.

Form 990, Part VI, Section B, Line 11B

The draft of form 990 was provided to the members of the governing body for review and approval prior to its submission to the internal revenue service.

Form 990, Part VI, Section B, Line 12C

The board of directors of the association has adopted a policy that prohibits board members, the administrator and retained consultants from having a conflict of interest or an interest in a matter that may be perceived as a conflict of interest. Board members, the administrator and retained consultants are required to report to the board of directors any conflict of interest that they encounter themselves or that may come to their attention with respect to another person. Board members, the administrator and consultants are required to execute at lease annually a statement confirming their understanding of the policy and disclosing any conflict situations of which they may be aware.

Form 990, Part VI, Section B, Line 15

No compensation paid in 2024.

Form 990, Part VI, Section C, Line 19

Records are made available upon request.

Filing and Contact Details

Filer

Filer Name
TENNESSEE SELF-INSURERS' GUARANTY
EIN
99-5014821
Phone
6159698938
Address
1320 ADAMS STREET 1600, NASHVILLE, TN 37208

Signing Officer

Name
Bradley Jackson
Title
Executive Director
Phone
6159698938
Signed
2025-10-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Bradley Jackson
Formed
2024
Legal Domicile
Tn
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
0

Preparer

Firm
Cri Advisors LLC
Address
3011 ARMORY DRIVE SUITE 300, NASHVILLE, TN 37204
Preparer
John V Rayburn
Phone
6156651811
Raw XML Appendix238 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt01320 ADAMS STREET SUITE 1400
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IRS990/Desc0THE ASSOCIATION WILL CARRY OUT ITS MANDATE ESTABLISHED BY THE TENNESSEE GENERAL ASSEMBLY IN 2024 TENN. PUB. ACTS. CH. 666 (THE ACT) BY SERVING AS THE STATE'S GUARANTY FUND FOR SELF-INSURED BUSINESSES. PURSUANT TO THE ACT, THE ASSOCIATION IS LIABLE FOR THE WORKER COMPENSATION LIABILITIES OF ANY MEMBER SELF-INSURED WHO BECOMES INSOLVENT AND FAILS TO MEET WORKER COMPENSATION OBLIGATIONS FOR THE PAYMENT OF MEDICAL BILLS OR BENEFITS TO THEIR TENNESSEE-BASED EMPLOYEES OR FORMER EMPLOYEES PURSUANT TO TENNESSEE LAW. ALSO PURSUANT TO THE ACT, ALL COMPANIES LICENSED TO BE SELF-INSURED EMPLOYERS BY THE TENNESSEE COMISSIONER OF INSURANCE AT THE TIME OF THE ACT'S PASSAGE OR SUBSEQUENTLY LICENSED, MUST BE MEMBERS OF THE ASSOCATION.
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IRS990/Form990PartVIISectionAGrp/PersonNm0ROB BEHNKE
IRS990/Form990PartVIISectionAGrp/PersonNm1BAILEY PIPKIN
IRS990/Form990PartVIISectionAGrp/PersonNm2STEVEN LORADY
IRS990/Form990PartVIISectionAGrp/PersonNm3CONNIE DOWNUM
IRS990/Form990PartVIISectionAGrp/PersonNm4BRADLEY JACKSON
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4EXECUTIVE DIRECTOR
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02024
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt00
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
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IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
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IRS990/InitialReturnInd0X
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IRS990/IRPDocumentCnt00
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IRS990/MaterialDiversionOrMisuseInd00
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IRS990/MethodOfAccountingCashInd0X
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IRS990/NetUnrelatedBusTxblIncmAmt00
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IRS990/NondeductibleContributionsInd00
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IRS990/OperateHospitalInd00
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IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/PartialLiquidationInd00
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IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS FIVE (5) MEMBERS WHO SERVE AS THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS COMPOSED OF A CHAIRMAN, TREASURER, SECRETARY, EXECUTIVE DIRECTOR, AND ONE (1) DIRECTOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE DRAFT OF FORM 990 WAS PROVIDED TO THE MEMBERS OF THE GOVERNING BODY FOR REVIEW AND APPROVAL PRIOR TO ITS SUBMISSION TO THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE BOARD OF DIRECTORS OF THE ASSOCIATION HAS ADOPTED A POLICY THAT PROHIBITS BOARD MEMBERS, THE ADMINISTRATOR AND RETAINED CONSULTANTS FROM HAVING A CONFLICT OF INTEREST OR AN INTEREST IN A MATTER THAT MAY BE PERCEIVED AS A CONFLICT OF INTEREST. BOARD MEMBERS, THE ADMINISTRATOR AND RETAINED CONSULTANTS ARE REQUIRED TO REPORT TO THE BOARD OF DIRECTORS ANY CONFLICT OF INTEREST THAT THEY ENCOUNTER THEMSELVES OR THAT MAY COME TO THEIR ATTENTION WITH RESPECT TO ANOTHER PERSON. BOARD MEMBERS, THE ADMINISTRATOR AND CONSULTANTS ARE REQUIRED TO EXECUTE AT LEASE ANNUALLY A STATEMENT CONFIRMING THEIR UNDERSTANDING OF THE POLICY AND DISCLOSING ANY CONFLICT SITUATIONS OF WHICH THEY MAY BE AWARE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NO COMPENSATION PAID IN 2024.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4RECORDS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
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ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0BRADLEY JACKSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum06159698938
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-10-22
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0TENNESSEE SELF-INSURERS' GUARANTY
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0ASSOCIATION
ReturnHeader/Filer/BusinessNameControlTxt0TENN
ReturnHeader/Filer/EIN0995014821
ReturnHeader/Filer/PhoneNum06159698938
ReturnHeader/Filer/USAddress/AddressLine1Txt01320 ADAMS STREET 1600
ReturnHeader/Filer/USAddress/CityNm0NASHVILLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0TN
ReturnHeader/Filer/USAddress/ZIPCd037208
ReturnHeader/IRSResponsiblePrtyInfoCurrInd00
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0994625061
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CRI ADVISORS LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03011 ARMORY DRIVE SUITE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0NASHVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd037204
ReturnHeader/PreparerPersonGrp/PhoneNum06156651811
ReturnHeader/PreparerPersonGrp/PreparationDt02025-10-22
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JOHN V RAYBURN
ReturnHeader/ReturnTs02025-10-23T13:58:05-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-04-09
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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