Form 5500 · Employee benefit plan · KENNESAW, GA
CARL BLACK BUICK-PONTIAC-GMC TRUCK, INC.
Public Form 5500 records show how CARL BLACK BUICK-PONTIAC-GMC TRUCK, INC. (KENNESAW, GA) structures its employee benefits. Its broker of record is FOX EVERETT-DIV OF HUB INTL. Coverage is written through HCC/TOKIO MARINE INC and 9 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-2001655 · plan 503 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HCC/TOKIO MARINE INC | Stop-loss | 184 | April | $443,845 | $44,385 |
| BLUE CROSS AND BLUE SHIELD OF FLORIDA | — | 73 | April | $813,760 | $40,688 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision | 476 | April | $202,713 | $20,004 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 155 | April | $112,519 | $16,878 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 92 | April | $75,868 | $11,380 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 144 | April | $72,243 | $10,836 |
| BRELLA SERVICES, INC - ANSEL | Health | 47 | April | $26,704 | $5,341 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 96 | April | $26,565 | $3,985 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 69 | April | $18,155 | $2,723 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 457 | April | $16,686 | $2,503 |
Questions
Who is CARL BLACK BUICK-PONTIAC-GMC TRUCK, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, CARL BLACK BUICK-PONTIAC-GMC TRUCK, INC.'s broker of record is FOX EVERETT-DIV OF HUB INTL.
What insurance carrier does CARL BLACK BUICK-PONTIAC-GMC TRUCK, INC. use?
CARL BLACK BUICK-PONTIAC-GMC TRUCK, INC.'s benefit plan is written through HCC/TOKIO MARINE INC, among 10 disclosed carriers.
When does CARL BLACK BUICK-PONTIAC-GMC TRUCK, INC.'s group plan renew?
The most recent Schedule A policy period for CARL BLACK BUICK-PONTIAC-GMC TRUCK, INC. ended in April. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CARL BLACK BUICK-PONTIAC-GMC TRUCK, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.