# THE CLUB AT ADMIRAL'S COVE

Health and welfare plan sponsored by **THE CLUB AT ADMIRAL'S COVE**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | THE CLUB AT ADMIRAL'S COVE |
| EIN | 650102679 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | JUPITER, FL |
| Industry | hospitality |
| Funding | fully insured |
| Total premiums | $2.9M |
| Participants | 334 |
| Persons covered | 334 |

## Insurance carriers (Schedule A)

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

## Brokers

| Broker | Placed with |
|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES | HEALTH OPTIONS |
| CBIZ BENEFITS & INSURANCE SERVICES | BLUE CROSS BLUE SHIELD OF FLORIDA |
| CBIZ BENEFITS & INSURANCE SERVICES | GUARDIAN |
| MARK S METTILLE | GUARDIAN |
| CBIZ BENEFITS & INSURANCE SERVICES | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| GIS BENEFITS INC GA PURPOSES ONLY | UNITED OF OMAHA 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/650102679-501
- Cite as: PlanOptica, https://planoptica.com/welfare/650102679-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers