Form 5500 · Employee benefit plan · ASHLAND, PA
RED WHITE AND BLUE AUTOS, INC
The filing calls this plan RED WHITE AND BLUE AUTOS, INC EMPLOYEE BENEFIT PLAN.
RED WHITE AND BLUE AUTOS, INC of ASHLAND, PA is a 36-participant retail employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is MCGRIFF INSURANCE SERVICES LLC. Coverage is written through HM LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-3656264 · plan 501 · plan year 2025, filed Aug 28, 2025
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How this plan is funded
Self-funded as reported
The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.
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.
Benefits declared on this filing
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 4 insured contracts covering dental, vision, life and stop-loss; the largest, with HM LIFE INSURANCE COMPANY, covers 28 people.
The filing declares dental, vision, life and health. Health appears 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 only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $104,604 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium across the insured contracts is $126,781, with $2,048 in disclosed broker commissions — about 1.6% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF PENNSYLVANIA | Dental | 52 | May 1, 2025 | $15,096 | $1,510 |
| AMERICAN UNITED LIFE INSURANCE COMPANY | Life | 71 | May 1, 2025 | $3,693 | $369 |
| VISION BENEFITS OF AMERICA | Vision | 27 | May 1, 2025 | $3,388 | $169 |
| HM LIFE INSURANCE COMPANY | Stop-loss | 28 | May 1, 2025 | $104,604 | $0 |
Premium and claims on this contract
VISION BENEFITS OF AMERICA, contract 3975. For the contract year on this filing, the carrier reported $3,388 in premium earned and $1,658 in claims incurred. Dividing one by the other gives 49%.
- VISION BENEFITS OF AMERICA, contract 3975 reported $1,730 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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. The service providers are named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
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