# BOB JOHNSON CHEVROLET WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **R J CHEVROLET** (dba BOB JOHNSON CHEVROLET). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | R J CHEVROLET |
| EIN | 161170100 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | ROCHESTER, NY |
| Industry | automotive |
| Funding | fully insured |
| Total premiums | $5.5M |
| Participants | 425 |
| Persons covered | 938 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MVP HEALTH CARE | Health |
| EXCELLUS BCBS | Dental |
| SUN LIFE FINANCIAL | Life, STD, LTD, Other |
| EYEMED VISION CARE | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ROBERT G. RELPH AGENCY, INC. | MVP HEALTH SERVICES CORP |
| ROBERT G. RELPH AGENCY, INC. | EXCELLUS BLUECROSS BLUESHIELD |
| ANDERSON KENNEY ASSOCIATES LLC | SUN LIFE AND HEALTH INSURANCE COMPANY (US) |
| ROBERT G. RELPH AGENCY, INC. | EYEMED VISION CARE |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/161170100-501
- Cite as: PlanOptica, https://planoptica.com/welfare/161170100-501
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