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Form 5500 · Employee benefit plan · MACON, GA

HUTCHINSON AUTOMOTIVE, INC.

The filing calls this plan HUTCHINSON AUTOMOTIVE EMPLOYEE BENEFIT PLAN.

HUTCHINSON AUTOMOTIVE, INC. of MACON, GA is a 198-participant retail employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PARTNERS BENEFIT GROUP LLC. Coverage is written through IOA RE INC. and 1 other carrier. The plan's most recent policy period ended in August.

Benefits broker of record
Insurance carrier
Policy year ends
Augustas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-5463282 · plan 501 · plan year 2025, filed Apr 30, 2026

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How this plan is funded

Self-funded as reported

The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
198
Active at start of year
198
Active at end of year
97
Disclosed commissions
$34,328
Typical renewal
September 1

Benefits declared on this filing

Healthinsured — SUN LIFE ASSURANCE COMPANY OF CANADA97 of 198 participants (49%)
Dentaldeclared, not on Schedule A
Visiondeclared, not on Schedule A
Lifeinsured — SUN LIFE ASSURANCE COMPANY OF CANADA97 of 198 participants (49%)
Disabilityinsured — SUN LIFE ASSURANCE COMPANY OF CANADA97 of 198 participants (49%)

Also declared: 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 2 insured contracts covering health, life, disability and stop-loss; the largest, with IOA RE INC., covers 95 people.

The filing declares health, life, disability, dental and vision. Dental and vision 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.

The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.

Reported premium across the insured contracts is $405,762, with $34,328 in disclosed broker commissions — about 8.5% of premium.

The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
SUN LIFE ASSURANCE COMPANY OF CANADAHealth, Life, Disability97Sep 1, 2025$169,076$34,328
IOA RE INC.Stop-loss95Sep 1, 2025$236,686$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
HUTCHINSON AUTOMOTIVE, INC.
EIN 20-5463282
EMPLOYEE BENEFIT MANAGEMENT SERVICE
CLAIMS ADMINISTRATION · EIN 81-0391256
$57,490
paid directly by the plan
VERACITY BENEFITS
MEDICAL ADVOCATE & ADMIN · EIN 82-2628701
$36,070
paid directly by the plan
CIGNA HEALTH AND LIFE INSURANCE CO
PPO NETWORK · EIN 59-1031071
$10,237
paid directly by the plan
REVIVEHEALTH, INC.
TELEMEDICINE · EIN 86-1279290
$3,128
paid directly by the plan
I360 ADMINISTRATORS/MULTIPLAN
PPO NETWORK · EIN 13-3068979
$4,840
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Other plans filed by this employer

How this plan compares

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