# KELLEY AUTOMOTIVE GROUP HEALTH & WELFARE PLAN

Health and welfare plan sponsored by **KELLEY AUTOMOTIVE GROUP LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | KELLEY AUTOMOTIVE GROUP LLC |
| EIN | 351707660 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | FORT WAYNE, IN |
| Industry | automotive |
| Funding | mixed |
| Total premiums | $282K |
| Participants | 309 |
| Persons covered | 309 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| HM LIFE INSURANCE COMPANY | Stop-loss |
| ASSURITY LIFE INSURANCE COMPANY | LTD |

## Brokers

| Broker | Placed with |
|---|---|
| UNIFIED GROUP SERVICES, INC. | HM LIFE INSURANCE COMPANY |
| UNITED GROUP SERVICES, INC | ASSURITY LIFE INSURANCE COMPANY |

## 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/351707660-501
- Cite as: PlanOptica, https://planoptica.com/welfare/351707660-501
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