Form 5500 · Employee benefit plan · CONYERS, GA
COURTESY AUTOMOTIVE GROUP
The filing calls this plan COURTESY AUTOMOTIVE GROUP HEALTH & WELFARE BENEFITS PLAN.
COURTESY AUTOMOTIVE GROUP of CONYERS, GA insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is DIGITAL INSURANCE INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-0943526 · plan 501 · plan year 2025, filed May 28, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
50 other employer plans in Georgia have policy years ending in November. 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.
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 3 insured contracts covering dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 211 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 $894,261, with $134,251 in disclosed broker commissions — about 15% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
DIGITAL INSURANCE INC is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Vision | 211 | Dec 1, 2025 | $553,766 | $74,960 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 335 | Dec 1, 2025 | $246,923 | $37,039 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | — | 188 | Dec 1, 2025 | $93,572 | $22,252 |
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
50 other employer plans in Georgia are December 1 renewals (policy year ends November).
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