Form 5500 · Employee benefit plan · NORWALK, CT
GEORGETOWN SUBARU, INC. DBA GARAVEL SUBARU
The filing calls this plan GARAVEL SUBARU HEALTH & WELFARE BENEFITS PLAN.
GEORGETOWN SUBARU, INC. DBA GARAVEL SUBARU of NORWALK, CT files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HORTON, ANITA. Coverage is written through ANTHEM HEALTH PLANS, INC. and 1 other carrier. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 06-1481519 · plan 501 · plan year 2026, filed Aug 25, 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
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 3 insured contracts covering health and life; the largest, with ANTHEM HEALTH PLANS, INC., covers 73 people.
The filing declares health, life, dental, vision and disability. Dental, vision and disability appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $621,521, with $41,245 in disclosed broker commissions — about 6.6% of premium.
The health contract's policy period ended in January, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
HORTON, ANITA 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 |
|---|---|---|---|---|---|
| ANTHEM HEALTH PLANS, INC. | Health | 73 | Feb 1, 2026 | $612,432 | $37,078 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life | 30 | Jan 1, 2026 | $5,028 | $2,388 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life | 15 | Jan 1, 2026 | $4,061 | $1,779 |
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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