| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JESUS M. ROSARIO NARVAEZ | COND. PARQUE DE LA VISTA 1280 CALLE JUAN BAIZ APT 330C SAN JUAN, PR 00924 | MCS LIFE INSURANCE COMPANY | $14K | — | $14K | 3.96% |
| OWNERS RISK INSURANCE MANAGEMENT | PO BOX 191730 SAN JUAN, PR 00919 | FIRST MEDICAL HEALTH PLAN INC. | $9K | — | $9K | 4.79% |
| LUIS R. SOLER VAZQUEZ | 1219 AVE MAGDALENA APT 405 SAN JUAN, PR 00907 | FIRST MEDICAL HEALTH PLAN INC. | $6K | — | $6K | 4.48% |
| POPULAR RISK SERVICES, LLC Filed as: POPULAR RISK SERVICES, INC. | CORPORATE OFFICE PARK 36 CARR 20 STE 201 GUAYNABO, PR 00966 | FIRST MEDICAL HEALTH PLAN INC. | $2K | — | $2K | 1.52% |
| JESUS M. ROSARIO NARVAEZ | COND PARQUE DE LA VISTA 1280 CALLE JUAN BAIZ APT 330C SAN JUAN, PR 00924 | FIRST MEDICAL HEALTH PLAN INC. | $5K | — | $5K | 4.92% |
| LUIS R. SOLER VAZQUEZ | 1219 AVE. MAGNALENA APT 405 SAN JUAN, PR 00907 | FIRST MEDICAL HEALTH PLAN INC. | $4K | — | $4K | 4.91% |
| JESUS M. ROSARIO NARVAEZ | COND. PARKE DE LA VISTA I 1280 CALLE JUAN BAIZ APT 330-C SAN JUAN, PR 00924 | DELTA DENTAL OF PUERTO RICO, INC. | $2K | — | $2K | 3.50% |
| LUIS R. SOLER VAZQUEZ | COND. LORES 1219 AVE. MAGDALENA APT 405 SAN JUAN, PR 00907 | DELTA DENTAL OF PUERTO RICO, INC. | $2K | — | $2K | 3.50% |
| LUIS R. SOLER VAZQUEZ | COND. LORES 1219 AVE. MAGDALENA APT 405 SAN JUAN, PR 00907 | DELTA DENTAL OF PUETO RICO, INC. | $622 | — | $622 | 5.80% |
| POPULAR RISK SERVICES, LLC | APARTADO 71390 SAN JUAN, PR 00936 | DELTA DENTAL OF PUETO RICO, INC. | $128 | — | $128 | 1.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EFRAIN SOTO DE JESUS EIN 58-3548158 EMPLOYEE | Employee (plan) Service code 30 | URB SANTA JUANITA D65 CALLE ESPANA BAYAMON, PR 009544768 | $59K |
| AIDA L. ORTIZ RODRIGUEZ EIN 58-1415086 NONE | Employee (plan) Service code 30 | URB SUMMIT HILLS 562 CALLE TORRECILLA SAN JUAN, PR 009204312 | $33K |
| YOLANDA LANDRAU RAMOS EIN 58-1650227 EMPLOYEE | Employee (plan) Service code 30 | URB SANTA ROSA 31-5 CALLE 26 BAYAMON, PR 009596533 | $32K |
| VICTOR M. ORTEGA RAMON EIN 58-4205792 EMPLOYEE | Employee (plan) Service code 30 | URB VILLA BORINQUEN 405 CALLE DUERO SAN JUAN, PR 009203701 | $20K |
| DOCTORS CENTER HOSPITAL MANATI EIN 66-0665951 NONE | Other services Service code 49 | PO BOX 30532 MANATI, PR 006748513 | $14K |
| OVIDIO RUIZ HERNANDEZ EIN 58-3518920 INDEPENDENT CPA | Legal Service code 29 | PO BOX 3266 CAROLINA, PR 009843266 | $12K |
| DOCTORS CENTER HOSPITAL SAN JUAN EIN 66-0686840 NONE | Other services Service code 49 | PO BOX 30532 MANATI, PR 006748513 | $10K |
| JOSE OQUENDO DAVILA EIN 58-2379191 NONE | Other services Service code 49 | 2449 CALLE SANTA ELENA SECTOR CANTERA SAN JUAN, PR 009153105 | $10K |
| LABORATORIO CLINICO DEL MAR, LLC EIN 66-0549931 NONE | Other services Service code 49 | PO BOX 2221 MANATI, PR 006742221 | $10K |
| HOSPITAL WILMA N. VAZQUEZ EIN 66-0403210 NONE | Other services Service code 49 | PO BOX 7001 VEGA BAJA, PR 006947001 | $8K |
| DENISSE MARTINEZ MENDEZ EIN 58-2810023 NONE | Other services Service code 49 | PO BOX 890 TOA ALTA, PR 009540890 | $6K |
| LABORATORIO CLINICO TOLEDO SANTURCE EIN 66-0543982 NONE | Other services Service code 49 | PO BOX 8901 HATILLO, PR 006599141 | $5K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 714 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 714 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 48 | $869K |
| Dental(3 contracts, 3 carriers) | FIRST MEDICAL HEALTH PLAN INC. | 208 | $268K |
| Vision(4 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 48 | $771K |
| Life insurance(2 contracts) | FIRST MEDICAL HEALTH PLAN INC. | 33 | $292K |
| Prescription drug(5 contracts, 2 carriers) | MCS LIFE INSURANCE COMPANY | 48 | $869K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 208 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
No prospect flags tripped on this filing.