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Sponsor portfolioWelfare / HealthEIN 47-1544995

SOUTHERN TABLE HOSPITALITY

2 SOUTH ROSCOE BLVD. · PONTE VEDRA, FL 32082
9047467002
Plans filed
1
Years active
2024–2025
Industry
NAICS 72
Latest filing
2025
Total premiums (latest)
$785K
No prior year
Persons covered
110
No prior year
Total participants
108
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$785K
SOUTHERN TABLE HOSPITALITY WELFARE BENEFIT PLAN
Fully insured110 covered·3 carriers
Primary: BLUE CROSS BLUE SHIELD OF FLORIDA

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$692K55.2%
Dental$93K7.5%
Vision$93K7.5%
Life$93K7.5%
Short-term disability$93K7.5%
Long-term disability$93K7.5%
Other$93K7.5%

Carrier overview

3 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
BLUE CROSS OF CALIFORNIA
EIN 592015694
H
$373K47.5%1146
UPMC HEALTH OPTIONS
EIN 592403696
H
$319K40.6%1155
SUN LIFE ASSURANCE COMPANY OF CANADA
EIN 381082080
DVLSTDLTDOth
$93K11.9%11110

Broker overview

3 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
MFB FINANCIAL INCST. AUGUSTINE, FLBLUE CROSS BLUE SHIELD OF FLORIDA, HEALTH OPTIONS$31K$0$31K66.6%1
MFB FINANCIAL DBA THE BAILEY GROUPST. AUGUSTINE, FLSUN LIFE ASSURANCE COMPANY OF CANADA$15K$0$15K32.9%1
NFP INSURANCE SERVICES INCAUSTIN, TXSUN LIFE ASSURANCE COMPANY OF CANADA$0$271$2710.6%1

History & trajectory

2 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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