Form 5500 · Employee benefit plan · NEW HOLLAND, PA
RGH AUTOMOTIVE LLC
The filing calls this plan RGH AUTOMOTIVE LLC EMPLOYEE HEALTH AND WELFARE PLAN.
RGH AUTOMOTIVE LLC of NEW HOLLAND, PA spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through AMERICAN FIDELITY ASSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-4963154 · plan 501 · plan year 2025, filed Dec 10, 2025
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
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.
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 3 insured contracts covering health, vision, life and disability; the largest, with AMERICAN FIDELITY ASSURANCE COMPANY, covers 81 people.
Reported premium across the insured contracts is $170,679, with $20,585 in disclosed broker commissions — about 12% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
GALLAGHER BENEFIT SERVICES, INC. is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including AMERICAN FIDELITY ASSURANCE COMPANY, DEARBORN LIFE INSURANCE COMPANY and CAPITAL ADVANTAGE ASSURANCE COMPANY. AMERICAN FIDELITY ASSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AMERICAN FIDELITY ASSURANCE COMPANY | Health, Disability | 81 | Jul 1, 2025 | $129,229 | $17,528 |
| DEARBORN LIFE INSURANCE COMPANY | Life | 178 | Jul 1, 2025 | $30,355 | $3,057 |
| CAPITAL ADVANTAGE ASSURANCE COMPANY | Vision | 202 | Jul 1, 2025 | $11,095 | $0 |
Premium and claims on this contract
CAPITAL ADVANTAGE ASSURANCE COMPANY, contract 527764. For the contract year on this filing, the carrier reported $11,095 in premium earned and $6,922 in claims incurred. Dividing one by the other gives 62%.
- CAPITAL ADVANTAGE ASSURANCE COMPANY, contract 527764 reported $1,739 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. We publish company names only.
Other plans filed by this employer
How this plan compares
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