Haley Buick GMC Truck Inc.
Overview
Haley Buick GMC Truck Inc. sponsors a self-funded health plan that covered 637 participants in plan year 2024. The plan year starts in October. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 637
- Plan year
- Begins October 1 · next renewal October 2027
- Health plans filed
- Haley Automotive Group Employee Benefits Plan, plan 501 (637 participants)
- Stop-loss carrier
- Anthem Health Plans of Virginia, Inc.
- Broker compensation
- $63K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Anthem Health Plans of Virginia, Inc. | Vision, Stop-loss | 638 | $432K | — |
| Unum Life Insurance Company of America | Life, Long-term disability, Short-term disability, Gciee, Grpaccvo, Grphspvoen | 669 | $280K | $46K |
| Unum Insurance Company | GRP Accident, Attained Age Critical Illness, Hospital EE Paid | 90 | $59K | $10K |
| Provident Life and Accident Insurance Company | Short-term disability | 117 | $55K | $3K |
| Fidelity Security Life Insurance Company | Vision | 605 | $48K | $4K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 637 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2024
- Plan sponsor
- Haley Buick GMC Truck Inc.
- Sponsor EIN
- 54-0719909
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 54-0719909 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Haley Automotive Group Profit Sharing Plan
- Type
- Defined contribution plan
- Participants
- 683
About this data
Source: Haley Buick GMC Truck Inc.'s Form 5500 filing for plan year 2024 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Haley Buick GMC Truck Inc..


