# WELFARE BENFIT PLAN-NON OCCUPATIONAL TEMPORARY DISABILITY PLAN

Health and welfare plan sponsored by **WESLEYAN ACADEMY** (dba PO BOX 1489 GUAYNABO PUERTO RICO 00970-1489). Form 5500 filing for plan year 2026.

| Field | Value |
|---|---|
| Sponsor | WESLEYAN ACADEMY |
| EIN | 660219759 |
| Plan number | 501 |
| Plan year | 2026 |
| Location | GUAYNABO, PR |
| Industry | Educational Services |
| Funding | fully insured |
| Total premiums | $2K |
| Participants | 110 |
| Persons covered | 110 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO | STD |

## Brokers

| Broker | Placed with |
|---|---|
| NYDIA GARCIA MARTINEZ | COOPERATIVA DE SEGUROS DE VIDA DE PR |

## 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/660219759-501
- Cite as: PlanOptica, https://planoptica.com/welfare/660219759-501
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