Allied Sheet Metal Works
Your Blue Cross renewal vs. LBMC
Benefits starting December 1, 2026
Prepared October 27, 2026 by Beverly Griffin and Caleb Sherrill, Contemporary Benefits Advisors · Confidential
Today
Your two questions from yesterday
1
“How does it work when my people are on LBMC’s paperwork?”
What changes, what stays the same, and how you’d get out.
2
“Can my employees stay whole?”
What they’d pay out of pocket, prescriptions, and how an HSA can help.
Then: what it all costs, and what happens next.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
Your first question
How a PEO works
LBMC becomes the employer on paper for payroll, taxes and benefits. That lets Allied buy benefits as part of one large group, at large-group prices. You keep running the business.
Stays the same
- You run the business: hiring, firing, pay, schedules and culture
- Your job-costing system and time clock; you keep entering hours
- Your workers’ comp, property and liability policies
- Your 401(k), with your current provider (confirming with LBMC)
Changes
- Payroll moves from ADP to LBMC; W-2s show LBMC
- One invoice a month for payroll and every benefit
- Medical moves to BlueCross BlueShield of Tennessee
- Dental, vision, life and disability move to LBMC’s plans
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
Your first question
Your contract, and how you’d leave
12 months
Then month to month
With 60 days’ notice to leave. We’re negotiating the early-exit terms for you.
$14,400 a year
One LBMC fee
$98 per employee a month, $1,200 monthly minimum. Stays at $14,400 with 12 or fewer employees. Includes payroll and HR support.
Once a year
Benefits renew
Rates hold for 12 months, then renew like any insurance. First renewal: December 1, 2027.
We’re getting all of this from LBMC in writing. CBA stays your team and holds LBMC accountable.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
Your second question
The plans, side by side
| In network | Renew Blue Cross | LBMC Plan 4 (recommended) | LBMC Plan 5 (leaner) | LBMC Plan 3 (richer) |
|---|---|---|---|---|
| Network | BlueHPN, in network only | BCBS of TN, plus out of network | BCBS of TN, plus out of network | BCBS of TN, plus out of network |
| Deductible | $6,000 / $12,000 | $5,500 / $11,000 | $7,400 / $14,800 | $4,000 / $8,000 |
| Coinsurance | 30% | 20% | 0% | 30% |
| Out-of-pocket max | $8,300 / $16,600 | $8,000 / $16,000 | $7,400 / $14,800 | $6,500 / $13,000 |
| Prescriptions | 30% / 30% | 40% / 50%, higher | 0% / 0%, lower | 30% / 30%, same |
Green is better than today, red is worse. Deductible and out-of-pocket max are single / family. Coinsurance and prescriptions apply after the deductible. All three LBMC plans work with an HSA.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
Medical
Monthly rates by coverage
| Monthly premium | Renew Blue Cross | LBMC Plan 4 | LBMC Plan 5 | LBMC Plan 3 |
|---|---|---|---|---|
| Employee only (4 on the plan) | $718.24 average | $488.19 | $422.54 | $549.75 |
| Employee + spouse (2) | $1,915.13 average | $955.17 | $826.50 | $1,075.84 |
| Employee + children (none today) | Age rated | $828.69 | $717.09 | $933.36 |
| Family (1) | $1,637.72 | $1,378.37 | $1,192.59 | $1,552.60 |
| Medical, per year | $100,091 | $62,898 | $54,429 | $70,839 |
| vs. renewing | Starting point | $37,193 less | $45,662 less | $29,252 less |
Blue Cross prices each person by age, so averages are shown. Today you pay $81,795 a year for medical.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
Your second question
How an HSA works
All three LBMC plans come with a health savings account (HSA): an account in each employee’s own name, for medical costs.
1
Allied puts money in
You choose the amount. It’s tax-free for the company and the employee.
2
Employees use it for care
The deductible, prescriptions, doctor visits, dental and vision.
3
What’s left is theirs
It rolls over every year and stays with them, even if they leave.
Employees can also add their own money from each paycheck, before taxes.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
HSA options: company cost and employee cost
| Per year | Plan 4 | Plan 4 + $1,000 HSA | Plan 5 + $1,000 HSA | Plan 5 + $1,500 HSA, first year | Plan 3 + $1,000 HSA |
|---|---|---|---|---|---|
| HSA deposits from Allied | None | $7,000 | $7,000 | $10,500 | $7,000 |
| Company cost, all in | $81,013 | $88,013 | $79,544 | $83,044 | $95,954 |
| Saves vs. renewing | $32,077 | $25,077 | $33,546 | $30,046 | $17,136 |
| Employee pays before coverage starts | $5,500 | $4,500 | $6,400 | $5,900 | $3,000 |
| Most an employee pays in a year | $8,000 | $7,000 | $6,400 | $5,900 | $5,500 |
| Prescriptions | 40% / 50% | 40% / 50% | 0% | 0% | 30% |
Company cost includes medical, dental, LBMC’s fee and the HSA deposits for the 7 employees on the plan. Renewing costs $113,090 with ADP and Innovative. Employee amounts are single coverage, less the deposit. LBMC also offers a gap plan that helps pay the deductible; details are coming.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
Dental
More coverage for about half the price
| In network | Humana renewal | LBMC Mid (closest) | LBMC High (richer) |
|---|---|---|---|
| Yearly max per person | $1,500 | $2,000, higher | $3,000, higher |
| Basic / major work | 80% / 50% | 80% / 50%, same | 90% / 60%, better |
| Orthodontia | Not covered | $1,500, kids under 19 | $1,500, kids under 19 |
| Employee only, monthly (5) | $57.65 | $26.07 | $40.85 |
| Employee + spouse (1) | $115.30 | $55.40 | $86.77 |
| Employee + children (none today) | $147.01 | $55.76 | $87.35 |
| Family (1) | $204.67 | $123.82 | $193.94 |
| Per year | $7,299 | $3,715, saves $3,584 | $5,820, saves $1,479 |
All three: $50 deductible, cleanings and x-rays at 100%. Delta Dental rates shown; MetLife offers the same plans. Humana covers 4 cleanings a year; we’re confirming LBMC’s count.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
Vision, life and disability
The rest of the package
Vision
| In network | Humana 200 | LBMC High |
|---|---|---|
| Exam / lenses | $0 / $0 | $10 / $10 |
| Frames | $200 / 24 mo | $225 / 12 mo |
| Contacts | $200 | Up to $225 |
| Employee only, monthly | On invoice | $9.30 |
| Employee + spouse | On invoice | $18.36 |
| Employee + children | On invoice | $17.73 |
| Family | On invoice | $28.10 |
Life and disability, company paid
| Coverage | Guardian today | LBMC |
|---|---|---|
| Life and AD&D | $15,000; $1,591 a year | $10,000 at $2 per employee a month |
| Short-term disability | 60% to $500 a week; $2,208 a year | Being priced |
| Long-term disability | 60% to $2,000 a month; $3,388 a year | Being priced |
Your current vision rates are on your Humana invoice; we’ll add them. LBMC’s $25,000 life option is being priced.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
What it costs
All in, per year
Renew Blue Cross
$113,090
$18,984 more than today
LBMC Plan 4
$81,013
Saves $32,077 a year
LBMC Plan 5
$72,544
Saves $40,546 a year
LBMC Plan 3
$88,954
Saves $24,136 a year
Today you pay $94,106 a year for the same coverage. All three LBMC plans cost less than that.
Medical, dental, payroll and plan administration. Today that includes about $4,500 a year to ADP and $1,200 to Innovative; LBMC’s fee covers payroll. HSA deposits are on the HSA options slide. Vision, life and disability aren’t in these totals yet.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
Who saves: the company or your employees
Starts at your split today: employees pay $34 a week, Allied pays the rest for employees and spouses, and employees pay for children. Medical only, plus LBMC’s fee, ADP and Innovative.
LBMC plan
Compare with Blue Cross
Paychecks
Total savings vs. the renewal, per year
$0
Employee only, per paycheck
$0Employee + spouse, per paycheck
$0Family, per paycheck
$0Company’s cost a year, with LBMC’s fee
$0What each person’s coverage costs, per month
| Person | Coverage | Blue Cross today | Blue Cross renewal | LBMC Plan 4 | LBMC Plan 5 | LBMC Plan 3 | Plan 4 vs. renewal |
|---|---|---|---|---|---|---|---|
| A | Employee only | $358.13 | $432.44 | $488.19 | $422.54 | $549.75 | $55.75 more |
| B | Employee only | $422.91 | $521.24 | $488.19 | $422.54 | $549.75 | $33.05 less |
| C | Employee only | $771.36 | $939.60 | $488.19 | $422.54 | $549.75 | $451.41 less |
| D | Employee only | $788.01 | $979.67 | $488.19 | $422.54 | $549.75 | $491.48 less |
| E | Employee + spouse | $1,701.34 | $2,074.14 | $955.17 | $826.50 | $1,075.84 | $1,118.97 less |
| F | Employee + spouse | $1,434.34 | $1,756.12 | $955.17 | $826.50 | $1,075.84 | $800.95 less |
| G | Family | $1,340.19 | $1,637.72 | $1,378.37 | $1,192.59 | $1,552.60 | $259.35 less |
| Total | 7 on the plan | $6,816.28 | $8,340.93 | $5,241.47 | $4,535.75 | $5,903.28 | $3,099.46 less |
Blue Cross prices each person by age; LBMC charges one rate per coverage level, so a younger employee can cost a little more on Plan 4. Everyone costs less on Plan 5. This is the full premium for each person’s coverage; today each employee pays $34 a week, and Allied pays the rest for employees and spouses.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential
Next steps
Getting to December 1
Wednesday
Discovery with Ryan at LBMC: your questions, UKG and the contract
This week
We confirm your doctors and dentist; LBMC sends gap plan details
Early November
You pick a plan and sign (LBMC’s date to be confirmed)
November
Employees enroll; payroll set up
December 1
New coverage starts; Blue Cross ends November 30
We’re confirming with LBMC, in writing
- Your doctors and dentist are in network
- Gap plan details and cost
- Exit terms: 60 days’ notice, early-exit fee
- Rates start December 1 and hold 12 months
- Your 401(k) stays with your current provider
What we need from you
- Which plan: 4, 5 or 3
- How much you’d like to put into HSAs
- Total headcount, including anyone who waives
- ADP’s quote, when it comes in
Beverly Griffin (704) 218-2899 · beverly@c-ben.com · Caleb Sherrill, PEO options, 704-787-1261
The full side by side
| Per year | Today | Renew Blue Cross | LBMC Plan 4 | LBMC Plan 5 | LBMC Plan 3 |
|---|---|---|---|---|---|
| Deductible / coinsurance | $6,000 / 30% | $6,000 / 30% | $5,500 / 20% | $7,400 / 0% | $4,000 / 30% |
| Out-of-pocket max | $8,300 | $8,300 | $8,000 | $7,400 | $6,500 |
| Prescriptions | 30% | 30% | 40% / 50% | 0% | 30% |
| Medical | $81,795 | $100,091 | $62,898 | $54,429 | $70,839 |
| Dental | $6,611 | $7,299 | $3,715 | $3,715 | $3,715 |
| Payroll and plan admin | $5,700 | $5,700 | In LBMC fee | In LBMC fee | In LBMC fee |
| LBMC fee | None | None | $14,400 | $14,400 | $14,400 |
| Total per year | $94,106 | $113,090 | $81,013 | $72,544 | $88,954 |
| vs. renewing | $18,984 less | Starting point | $32,077 less | $40,546 less | $24,136 less |
| vs. today | Starting point | $18,984 more | $13,093 less | $21,562 less | $5,152 less |
Single deductible and out-of-pocket max. Payroll and plan admin today: about $4,500 to ADP and $1,200 to Innovative. Dental is LBMC Mid. LBMC plans are BCBS of Tennessee with out-of-network coverage. Vision, life and disability aren’t in these totals yet.
Allied Sheet Metal Works · Contemporary Benefits Advisors · Confidential