Form 5500 · Employee benefit plan · MOLINE, IL
KEY AUTO MALL, INC.
The filing calls this plan KEY AUTO MALL CAFETERIA PLAN.
Public Form 5500 records show how KEY AUTO MALL, INC. of MOLINE, IL, a retail employer, structures its employee benefits. Its broker of record is LB BENEFITS INC. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 1 other carrier. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-3034894 · plan 501 · plan year 2025, filed Feb 2, 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.
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 2 insured contracts covering health, dental, life and disability; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 142 people.
Reported premium across the insured contracts is $1,387,659, with $65,899 in disclosed broker commissions — about 4.7% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
LB BENEFITS INC is the broker of record on all 2 contracts.
Two carriers split the book: BLUECROSS BLUESHIELD OF ILLINOIS and DEARBORN LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health | 142 | Apr 1, 2025 | $1,283,648 | $51,516 |
| DEARBORN LIFE INSURANCE COMPANY | Health, Dental, Life, Disability | 145 | Apr 1, 2025 | $104,011 | $14,383 |
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.
How this plan compares
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