# LAKE CHEVROLET, INC. EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **LAKE CHEVROLET-OLDSMOBILE, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LAKE CHEVROLET-OLDSMOBILE, INC. |
| EIN | 232175833 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | LEWISTOWN, PA |
| Industry | Retail Trade |
| Funding | mixed |
| Total premiums | $311K |
| Participants | 64 |
| Persons covered | 66 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HM LIFE INSURANCE COMPANY | Stop-loss |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | Life, Other, STD |
| DOMINION NATIONAL | Dental, HMO |
| COMPANION LIFE INSURANCE COMPANY | STD, Other |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| KISH BANK | DOMINION NATIONAL |
| EMERSON REID LLC | DOMINION NATIONAL |
| KISH BANK | COMPANION LIFE |
| DEPROSPO INS CONSULTING LLC | COMPANION LIFE |
| KISH BANK | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| DEPROSPO INS CONSULTING LLC | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| CHRISTOPHER CROYLE | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| CROYLE COLLETTE R | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| GRENINGER JR | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| R & B INSURANCE SERVICES LLC | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| REEDER INS LLC | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| KISH BANK | VISION BENEFITS OF AMERICA |

## 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/232175833-501
- Cite as: PlanOptica, https://planoptica.com/welfare/232175833-501
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