Form 5500 · Employee benefit plan · GUAYNABO
ACI-HERZOG A JOINT VENTURE
ACI-HERZOG A JOINT VENTURE of GUAYNABO, PR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL PUERTO RICO, INC.. Coverage is written through UNIVERSAL LIFE INSURANCE COMPANY. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-3581810 · plan 502 · plan year 2025, filed Dec 31, 2025
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36 other employer plans in the U.S. have policy years ending in May. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
The filing discloses a single insured line, life, through UNIVERSAL LIFE INSURANCE COMPANY, covering 260 people.
Reported premium across the insured contracts is $27,949, with $4,192 in disclosed broker commissions — about 15% of premium.
The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNIVERSAL LIFE INSURANCE COMPANY | Life | 260 | Jun 1, 2025 | $27,949 | $4,192 |
Premium and claims on this contract
UNIVERSAL LIFE INSURANCE COMPANY, contract GL/ADD1306-0316. For the contract year on this filing, the carrier reported $27,949 in premium earned and $3,089 in claims incurred. Dividing one by the other gives 11%.
- UNIVERSAL LIFE INSURANCE COMPANY, contract GL/ADD1306-0316 reported $4,192 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Reported to OSHA
Reported to OSHA for 2025: 350 employees, 7 recordable cases, 39 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
36 other employer plans in the U.S. are June 1 renewals (policy year ends May).
Their policy years end in May, like this plan’s, so most renew June 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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