# TOM BUSH VOLKSWAGEN, INC. EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **TOM BUSH VOLKSWAGEN, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | TOM BUSH VOLKSWAGEN, INC. |
| EIN | 591290731 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | JACKSONVILLE, FL |
| Industry | Retail Trade |
| Funding | fully insured |
| Total premiums | $2.2M |
| Participants | 336 |
| Persons covered | 336 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA | Health, Rx |
| UPMC HEALTH OPTIONS | Health, Rx, HMO |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental |
| EYEMED VISION CARE | Vision |
| HEALTHIEST YOU | Other |

## Brokers

| Broker | Placed with |
|---|---|
| BROWN & BROWN INSURANCE SERVICES | BLUE CROSS BLUE SHIELD OF FLORIDA |
| BROWN & BROWN INSURANCE SERVICES | HEALTH OPTIONS, INC. |
| BROWN & BROWN INSURANCE SERVICES | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| STRATEGIC NON-MEDICAL SOLUTIONS LLC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| VELOCITY BENEFITS | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| BROWN & BROWN INSURANCE SERVICES | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| STRATEGIC NON-MEDICAL SOLUTIONS LLC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| BROWN & BROWN INSURANCE SERVICES | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. |
| BROWN & BROWN INSURANCE SERVICES | HEALTHIESTYOU |

## 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/591290731-501
- Cite as: PlanOptica, https://planoptica.com/welfare/591290731-501
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