# FORMAN AUTOMOTIVE DBA UNITED NISSAN WELFARE BENEFITS PLAN

Health and welfare plan sponsored by **FORMAN AUTOMOTIVE, INC.** (dba UNITED NISSAN). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | FORMAN AUTOMOTIVE, INC. |
| EIN | 770600403 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | LAS VEGAS, NV |
| Industry | automotive |
| Funding | fully insured |
| Total premiums | $1.9M |
| Participants | 209 |
| Persons covered | 298 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Rx, Dental, Vision |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| BROWN & BROWN INSURANCE SERVICES | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE |
| MARIA MCGLOTHEN | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| BROWN & BROWN INSURANCE SERVICES | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| ANTHONY THOMAS THIELGES | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| DEALER PROTECTION GROUP | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| ALIDA J REJON | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| BENEFITTING YOU INC | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| JOAN RANCE | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| OMEGA FINANCIAL AND INSURANCE SOLUT | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| ANDREA MARIE TIERCE | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| JESSE RENTERIA | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| K SCHILLING CONSULTING LLC | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| KAREN SUZANNE SCHILLING | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| NICOLE BLANCHARD | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| LAURA LETICIA RENOVA | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| KYM ELIZABETH DUNHAM | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| TAMARA THOMPSON | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| PROSESSION INC | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| DEBORAH J BELLINO | COLONIAL LIFE & ACCIDENT 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/770600403-501
- Cite as: PlanOptica, https://planoptica.com/welfare/770600403-501
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