
Health Benefits
Plan Year: 12/1/2024 to 11/30/2025
Eligible full-time associates may enroll in an associate only, an associate plus spouse, an associate plus children, or a family plan on the first of the month following 60 days of active employment.
Benefits Eligibility
You can enroll the following eligible dependents, your legal spouse and dependent children (yours or your spouse's). Find below more information on dependents/family members.
Eligible Dependents
Already Have Insurance? Submit Your Waiver Today!
Submit Your Dependent Verification Documents
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Medical Insurance
Regular full-time associates must be scheduled to work at least 30 hours per week to qualify for medical insurance. Eligible dependents may also be added to the plan during the enrollment period.
Medical Plan Highlights: English | Spanish
Health Savings Account: Eng | Spa
Learn your Key Benefit Terms
Pharmacy Discount Information: English| Spanish
Review our Preventive Care Services
Emergency Room/Urgent Care: Eng | Spa
Find a Doctor
Print your Digital ID Card
COBRA Frequently Asked Questions
HIPAA Privacy Notice
Enrollment Steps: English | Spanish
Plan Sponsor Name: BOMNIN AUTOMOTIVE GROUP
Group Number: 937416 -
Dental Insurance
Under the Dental Preferred Provider Organization (PPO) MAX plan, you may choose at the time of service either a PPO participating dentist or any nonparticipating dentist.
Learn your Key Benefit Terms
Dental Benefits Highlights: English | Spanish
Find a Doctor
Print your Digital ID Card
COBRA Frequently Asked Questions
HIPAA Privacy Notice
Enrollment Steps: English | Spanish
Plan Sponsor Name: BOMNIN AUTOMOTIVE GROUP
Group Number: 937416 -
Vision Insurance
Learn more about your Vision coverage and benefits as a Bomnin associate.
Learn your Key Benefit Terms
Vision Benefits Highlights: English | Spanish
Find a Doctor
Print your Digital ID Card
COBRA Frequently Asked Questions
HIPAA Privacy Notice
Enrollment Steps: English | Spanish
Understand your Medicare Options:
Learn More English | Spanish
Plan Sponsor Name: BOMNIN AUTOMOTIVE GROUP
Group Number: 937416 -
Gap
Medical Gap Insurance helps reduce out-of-pocket expenses tied to your medical plan, covering costs such as deductibles, copays, and coinsurance. This coverage applies to inpatient and outpatient care, including hospital stays, surgeries, and physician charges during hospital stays. It also covers emergency room treatment if it results in hospital admission.
GAP Benefits Highlights Package: Eng | Spa
Prosperity GAP for HSA Funding Plans
Prosperity Contact Sheet
Prosperity EE Benefits Portal: Eng | Spa
Prosperity - Request an ID Card
Prosperity - Complete a Claim
APL - Create an Online Account
APL - Complete a Claim
APL - Online Service Center
Enrollment Steps: English | Spanish
Prosperity Life Group
Policy Holder: Bomnin Automotive Group
Policy Number: 4609
Plan Sponsor Name: BOMNIN AUTOMOTIVE GROUP
APL Group Number: 15034

Contact Information
Qualifying Life Events
Add Coverage
Certain life events may make you eligible to add coverage to your current benefits plan. These events, also known as Qualifying Life Events (QLEs), allow you to make changes outside the annual open enrollment period. Examples include changes in your employment status, family circumstances, or your spouse’s coverage. Be sure to review the list of qualifying events and submit your request within the required timeframe.
Your Coverage (Associate)
· Associate Loss of Coverage
· Divorce or Legal Separation
· Death of Spouse
· Increase in Hours
· Return from Leave of Absence
· Spouse Loses Coverage at Their Employer
· Spouse Open Enrollment
Dependent Coverage (Family)
· Marriage
· Newborn Child
· Adopt a Child
· Dependent Begins or Returns to College
· Court Ordered Dependent Coverage
· Dependent Loss of Coverage
Qualifying Life Events
Drop Coverage
If you experience specific life events, you may also qualify to drop coverage or make adjustments to your benefits. These events include changes in eligibility, employment, or coverage gained through a spouse. Any changes must be consistent with the life event and must be requested within the designated time period.
Your Coverage (Associate)
· Associate Eligible for Medicare
· Associate Married and Changes to Spouse's Plan
· Leave of Absence
· Military Leave (COBRA)
· No Longer Eligible for Benefits (COBRA)
· Reduction in Hours (COBRA)
· Spouse Gains Coverage at Their Employer
· Spouse Open Enrollment
Dependent Coverage (Family)
· Divorce or Legal Separation (COBRA)
· Death of a Dependent
· Drop Coverage for Child Leaving College (COBRA)
· Court Ordered Dependent Coverage
· Dependent Eligible for Other Coverage
· Dependent Eligible for Medicare
· Drop Coverage When Dependent Over Eligible Age (COBRA)

Definition of an Eligible Dependent
You can enroll the following family members in your benefits plan:
Your legal spouse
Dependent children – either yours or your spouse’s:
Dependent children must be under 26 years of age. (Coverage continues until the end of the calendar year after they turn 26.)
Dependent children aged 26 to 30 can also be covered until the end of the calendar year in which they turn 30, provided they meet all of the following conditions:
They are unmarried.
They are residents of Florida or are enrolled as full-time or part-time students.
They are not eligible for Medicare and are not covered under another group or individual health benefit plan.
Dependent children include:
Natural children
Stepchildren
Adopted children, including those placed with you for adoption
Foster children
Children covered under a qualified medical support order or court order
Grandchildren in your legal custody
A grandchild whose parent is already covered as a dependent under this plan

Bomnin Benefits Department.
Have questions? Tap the button below to contact your Benefits Department.
Hours:
Monday – Friday: 8:30AM – 5:00PM
Saturday & Sunday: Closed
Email:
benefits@bomnin.com
Phone:
(305) 745-7041
Plan Year Notifications & Disclosures
SAR Health & Welfare Benefit Plan 12012022-11302023
2024-2025 Health Plan Compliance Notices: ENG | SPA
Notice of Medicare Part D: ENG | SPA
Electronic Communications Authorization: English & Spanish
Prosperity Life Group Supplemental Insurance Policy
Limited Benefit Group Supplemental Insurance
Summary of Benefits and Coverage:
NHP HMO DU10/NH47
HSA NHP HMO ECP6 Mod/NH21
HSA NHP HMO ECP6 Mod2/NH21
NHP HMO ECPG Mod/NH47
NHP HMO ECPH/NH47
APL Option 1
APL Option 2
UHC Dental Benefit Summary (PPO)
UHC Vision Benefit Summary
Summary of Material Modification (SMM)
WRAP Plan Document