Form 5500 · Employee benefit plan · BRISTOL, PA
ROB'S AUTOMOTIVE & COLLISION CENTER
The filing calls this plan ROB'S AUTOMOTIVE & COLLISION CENTER HEALTH & WELFARE PLAN.
Public Form 5500 records show how ROB'S AUTOMOTIVE & COLLISION CENTER of BRISTOL, PA, a other services employer, structures its employee benefits. Its broker of record is KISTLER TIFFANY BENEFITS GENERAL. Coverage is written through INDEPENDENCE BLUE CROSS and 2 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-2260325 · plan 501 · plan year 2025, filed Feb 6, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
118 other employer plans in Pennsylvania have policy years ending in July. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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 8 insured contracts covering health, dental, vision, life and disability; the largest, with INDEPENDENCE BLUE CROSS, covers 288 people.
Reported premium across the insured contracts is $2,534,143, with $112,154 in disclosed broker commissions — about 4.4% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
KISTLER TIFFANY BENEFITS GENERAL is the broker of record on 3 of the 8 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including INDEPENDENCE BLUE CROSS, AETNA LIFE INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY. INDEPENDENCE BLUE CROSS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| INDEPENDENCE BLUE CROSS | Health | 288 | Aug 1, 2025 | $1,803,560 | $81,950 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 82 | Aug 1, 2025 | $62,429 | $11,237 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 229 | Aug 1, 2025 | $57,347 | $10,323 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 83 | Aug 1, 2025 | $40,281 | $6,042 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 229 | Aug 1, 2025 | $6,785 | $1,221 |
| AETNA LIFE INSURANCE COMPANY | Dental | 317 | Aug 1, 2025 | $88,192 | $696 |
| INDEPENDENCE BLUE CROSS | Vision | 247 | Aug 1, 2025 | $18,676 | $685 |
| INDEPENDENCE BLUE CROSS | Health | 288 | Aug 1, 2025 | $456,873 | $0 |
Premium and claims on these contracts
INDEPENDENCE BLUE CROSS, contract 0001058126. For the contract year on this filing, the carrier reported $1,803,560 in premium earned and $1,698,566 in claims incurred. Dividing one by the other gives 94%.
INDEPENDENCE BLUE CROSS, contract 0001058126. For the contract year on this filing, the carrier reported $456,873 in premium earned and $812,118 in claims incurred. Dividing one by the other gives 178%.
- INDEPENDENCE BLUE CROSS, contract 0001058126 reported $184,002 in retention.
- INDEPENDENCE BLUE CROSS, contract 0001058126 reported $19,695 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.
Reported to OSHA
Reported to OSHA for 2025: 248 employees, 2 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
How this plan compares
Subscribers see how this compares with similar plans in Pennsylvania. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
Renewal calendar
118 other employer plans in Pennsylvania are August 1 renewals (policy year ends July).
Their policy years end in July, like this plan’s, so most renew August 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
Claude & ChatGPT
Look up records from Claude or ChatGPT
Add Form5500Lookup to Claude or ChatGPT and ask about any employer, broker or carrier in plain English. Lookups are free. Renewal lists, full books of business and exports are included with a subscription.
Building a list or a tool from these records? Match a list you already have from $29 per 1,000 records, or license the whole dataset as a weekly file for $499 a month. See both
More employer plans in Pennsylvania — largest plans, brokers, carriers and renewal months.