Form 5500 · Employee benefit plan · AUBURN, NY
FOX TS, LLC DBA FOX TOYOTA
The filing calls this plan FOX TS, LLC DBA FOX TOYOTA HEALTH AND WELFARE PLAN.
FOX TS, LLC DBA FOX TOYOTA of AUBURN, NY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BLADE BENEFIT CONSULTING LLC. Coverage is written through EXCELLUS BLUE CROSS BLUE SHIELD and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-3292608 · plan 501 · plan year 2025, filed Jul 6, 2026
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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
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 and vision; the largest, with EXCELLUS BLUE CROSS BLUE SHIELD, covers 107 people.
Reported premium across the insured contracts is $1,367,661, with $56,090 in disclosed broker commissions — about 4.1% 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.
BLADE BENEFIT CONSULTING LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: EXCELLUS BLUE CROSS BLUE SHIELD and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| EXCELLUS BLUE CROSS BLUE SHIELD | Health | 107 | Jan 1, 2026 | $1,284,854 | $51,277 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision | 136 | Jan 1, 2026 | $82,807 | $4,813 |
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.
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