Form 5500 · Employee benefit plan · CARSON CITY, NV
CAMPAGNI AUTOMOTIVE RESOURCES, INC.
The filing calls this plan CAMPAGNI AUTOMOTIVE RESOURCES HEALTH AND WELFARE BENEFIT PLAN.
Public Form 5500 records show how CAMPAGNI AUTOMOTIVE RESOURCES, INC. of CARSON CITY, NV, a retail employer, structures its employee benefits. Its broker of record is ASSUREDPARTNERS. Coverage is written through HOMETOWN HEALTH PROVIDERS INS CO INC and 1 other carrier. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 88-0163011 · plan 503 · plan year 2025, filed Nov 6, 2025
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: death benefits.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 2 insured contracts covering health, dental, vision and life; the largest, with HOMETOWN HEALTH PROVIDERS INS CO INC, covers 145 people.
Reported premium across the insured contracts is $1,344,379, with $62,041 in disclosed broker commissions — about 4.6% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
ASSUREDPARTNERS is the broker of record on all 2 contracts.
Two carriers split the book: HOMETOWN HEALTH PROVIDERS INS CO INC and PRINCIPAL LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HOMETOWN HEALTH PROVIDERS INS CO INC | Health | 145 | May 1, 2025 | $1,244,088 | $56,452 |
| PRINCIPAL LIFE INSURANCE COMPANY | Dental, Vision, Life | 212 | May 1, 2025 | $100,291 | $5,589 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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