Tennessee Code Title 56. Insurance § 56-40-102

(1) The employer's name and insurance federal employer identification number;

(2) The total number of employees covered by the employee welfare benefit plan;

(3) The size of the insurance reserve fund under the plan;

(4) An attached copy of insurance benefits provided to employees and their dependents under the plan; and

(5) An attached copy of any indemnity supplemental insurance that insures the plan benefits, with disclosure of the point at which the indemnity insurance begins coverage of those plan benefits.