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Form 5500 · Employee benefit plan · RICHMOND HILL, GA

MOBIS NORTH AMERICA ELECTRIFIED POWERTRAIN, LLC

MOBIS NORTH AMERICA ELECTRIFIED POWERTRAIN, LLC of RICHMOND HILL, GA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MARSH & MCLENNAN AGENCY LLC. Coverage is written through BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 92-0641450 · plan 501 · as of Aug 2026

Participants
108
Carriers on file
5
Disclosed commissions
$223,922
Renewal month
December

Plan brief

Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, covers 942 people.

Reported premium across the insured contracts is $2,709,710, with $223,922 in disclosed broker commissions — about 8.3% 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.

MARSH & MCLENNAN AGENCY LLC is the broker of record on all 5 contracts.

Two carriers split the book: BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA and THE LINCOLN NATIONAL LIFE INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GAHealth, Dental, Vision942December$2,539,353$198,368
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY570December$50,015$7,502
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability570December$48,932$7,340
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife569December$36,959$5,544
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife192December$34,451$5,168

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