Form 5500 · Employee benefit plan · LONDON, KY
LEGEND AUTOMOTIVE INC.
The filing calls this plan LEGEND AUTOMOTIVE INC. DBA LEGACY NISSAN HEALTH AND WELLNESS.
LEGEND AUTOMOTIVE INC. of LONDON, KY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PAYCHEX INSURANCE AGENCY INC. Coverage is written through ANTHEM HEALTH PLANS OF KENTUCKY, INC. and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 61-1366429 · plan 501 · plan year 2025, filed Aug 24, 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.
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, vision, life and disability; the largest, with ANTHEM HEALTH PLANS OF KENTUCKY, INC., covers 127 people.
Reported premium across the insured contracts is $1,584,817, with $35,360 in disclosed broker commissions — about 2.2% 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.
PAYCHEX INSURANCE AGENCY INC is the broker of record on all 2 contracts.
Two carriers split the book: ANTHEM HEALTH PLANS OF KENTUCKY, INC. and PRINCIPAL LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM HEALTH PLANS OF KENTUCKY, INC. | Health | 127 | Jan 1, 2026 | $1,508,655 | $28,910 |
| PRINCIPAL LIFE INSURANCE COMPANY | Health, Dental, Vision, Life, Disability | 176 | Nov 1, 2025 | $76,162 | $6,450 |
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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