# ELEVANCE HEALTH PUERTO RICO FLEXIBLE BENEFIT PLAN

Health and welfare plan sponsored by **ELEVANCE HEALTH COMPANIES OF PUERTO RICO, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ELEVANCE HEALTH COMPANIES OF PUERTO RICO, LLC |
| EIN | 661002717 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | INDIANAPOLIS, IN |
| Industry | Finance and Insurance |
| Funding | fully insured |
| Total premiums | $10.9M |
| Participants | 3,645 |
| Persons covered | 3,817 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MAPFRE LIFE INSURANCE COMPANY OF PUERTO RICO | Health, Dental |
| FHCHS HEALTH SYSTEMS, INC. | Other |

## 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/661002717-501
- Cite as: PlanOptica, https://planoptica.com/welfare/661002717-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers