# FIRST BANK PUERTO RICO HEALTH

Health and welfare plan sponsored by **FIRST BANK PUERTO RICO**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | FIRST BANK PUERTO RICO |
| EIN | 660561882 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SAN JUAN, PR |
| Industry | Finance and Insurance |
| Funding | mixed |
| Total premiums | $17.2M |
| Participants | 2,426 |
| Persons covered | 2,354 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MCS LIFE INSURANCE COMPANY | Health, Rx, Dental, Life, PPO |
| TRIPLE S SALUD, INC. | Health, Rx, PPO, Other |
| FIRST MEDICAL HEALTH PLAN, INC. | Health, Rx, Vision, PPO |
| DELTA DENTAL OF PUERTO RICO, INC. | Dental |

## Brokers

| Broker | Placed with |
|---|---|
| CGF INSURANCE LLC | MCS LIFE INSURANCE COMPANY |
| OLYMPIC AGENCY INC | MCS LIFE INSURANCE COMPANY |
| CGF INSURANCE LLC | TRIPLE S SALUD INC |
| OLYMPIC AGENCY INC | TRIPLE S SALUD INC |
| CGF INSURANCE LLC | FIRST MEDICAL HEALTH PLAN, INC. |
| CGF INSURANCE LLC | DELTA DENTAL OF PUERTO RICO INC |

## 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/660561882-501
- Cite as: PlanOptica, https://planoptica.com/welfare/660561882-501
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