Form 5500 · Employee benefit plan · TEMPE, AZ
CHAPMAN AUTOMOTIVE GROUP
The filing calls this plan CHAPMAN AUTOMOTIVE GROUP, LLC, AND AFFILIATES HEALTH & WELFARE BENEFIT PLAN.
CHAPMAN AUTOMOTIVE GROUP of TEMPE, AZ spreads its employee benefits across 6 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is DAVISON BENEFITS GROUP. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-0842909 · plan 504 · plan year 2025, filed Jul 28, 2026
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859 other employer plans in Arizona have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
Also declared: death benefits, other welfare.
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 6 insured contracts covering dental, vision, life and disability; the largest, with UNITED OF OMAHA LIFE INSURANCE COMPANY, covers 2,089 people.
The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.
Reported premium across the insured contracts is $2,040,501, with $148,343 in disclosed broker commissions — about 7.3% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
DAVISON BENEFITS GROUP is the broker of record on 5 of the 6 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 2,089 | Jan 1, 2026 | $1,149,039 | $95,814 |
| DELTA DENTAL OF ARIZONA | Dental | 1,797 | Jan 1, 2026 | $646,130 | $31,935 |
| VISION SERVICE PLAN | Vision | 989 | Jan 1, 2026 | $200,411 | $20,204 |
| EMPLOYERS DENTAL SERVICES | Dental | 29 | Jan 1, 2026 | $3,852 | $299 |
| TOTAL DENTAL ADMINISTRATORS HEALTH PLANS | Dental | 26 | Jan 1, 2026 | $910 | $91 |
| KEPRO | — | 1,320 | Jan 1, 2026 | $40,159 | $0 |
Premium and claims on this contract
DELTA DENTAL OF ARIZONA, contract 6506. For the contract year on this filing, the carrier reported $646,130 in premium earned and $475,248 in claims incurred. Dividing one by the other gives 74%.
- DELTA DENTAL OF ARIZONA, contract 6506 reported $161,532 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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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Renewal calendar
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