JIM Brown Chevrolet Inc., DBA Classic Chevrolet
Overview
JIM Brown Chevrolet Inc., DBA Classic Chevrolet sponsors a self-funded health plan that covered 734 participants in plan year 2025, up 3% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 734 · prior year 713
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Employee Benefits Plan, plan 501 (734 participants)
- Stop-loss carrier
- Medical Mutual of Ohio
- Broker compensation
- $154K 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 |
|---|---|---|---|---|
| Medical Mutual of Ohio | Stop-loss | 719 | $942K | $151K |
| Medmutual Life Insurance Company | Life | 729 | $15K | $3K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 734 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 2025
- Plan sponsor
- JIM Brown Chevrolet Inc., DBA Classic Chevrolet
- Sponsor EIN
- 34-1274105
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 34-1274105 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- JIM Brown Chevrolet, Inc. DBA Classic Chevrolet 401(k) Plan
- Type
- 401(k) plan
- Participants
- 1,101
About this data
Source: JIM Brown Chevrolet Inc., DBA Classic Chevrolet's Form 5500 filing for plan year 2025 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 JIM Brown Chevrolet Inc., DBA Classic Chevrolet.