Form 5500 · Employee benefit plan · PUNTA GORDA, FL
AMBITRANS DBA GRANT MEDICAL TRANSPORTATION
The filing calls this plan GRANT MEDICAL TRANSPORTATION HEALTH AND WELFARE BENEFIT PLAN.
AMBITRANS DBA GRANT MEDICAL TRANSPORTATION of PUNTA GORDA, FL is a 121-participant transportation and logistics employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is MARSH & MCLENNAN AGENCY - BOUCHARD. Coverage is written through BLUE CROSS BLUE SHIELD OF FLORIDA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-1782427 · plan 501 · plan year 2025, filed Jul 30, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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
Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF FLORIDA, covers 80 people.
Reported premium across the insured contracts is $1,231,443, with $57,611 in disclosed broker commissions — about 4.7% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
MARSH & MCLENNAN AGENCY - BOUCHARD is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF FLORIDA, HEALTH OPTIONS, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY. BLUE CROSS BLUE SHIELD OF FLORIDA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA | Health | 80 | Jan 1, 2026 | $793,020 | $16,992 |
| HEALTH OPTIONS | Health | 30 | Jan 1, 2026 | $273,980 | $14,850 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | 29 | Jan 1, 2026 | $33,964 | $13,153 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 128 | Jan 1, 2026 | $130,479 | $12,616 |
Premium and claims on these contracts
BLUE CROSS BLUE SHIELD OF FLORIDA, contract B7829. For the contract year on this filing, the carrier reported $793,020 in premium earned and $675,495 in claims incurred. Dividing one by the other gives 85%.
HEALTH OPTIONS, contract B7829. For the contract year on this filing, the carrier reported $273,980 in premium earned and $228,033 in claims incurred. Dividing one by the other gives 83%.
- BLUE CROSS BLUE SHIELD OF FLORIDA, contract B7829 reported $117,526 in retention.
- HEALTH OPTIONS, contract B7829 reported $45,946 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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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