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Form 5500 · Employee benefit plan · WINTER SPRINGS, FL

AMERICAN PREMIER SERVICES

The filing calls this plan AMERICAN PREMIER SERVICES INC HEALTH BENEFIT.

AMERICAN PREMIER SERVICES of WINTER SPRINGS, FL insures health, dental, vision and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is DIGITAL INSURANCE INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in March.

Benefits broker of record
Policy year ends
Marchas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-3687036 · plan 501 · plan year 2025, filed Aug 12, 2025

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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.

All participants at the start of the year
200
Active at start of year
200
Active at end of year
243
Disclosed commissions
$20,597
Typical renewal
April 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY258 of 200 participants
Dentalinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY258 of 200 participants
Visioninsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY258 of 200 participants
Lifenot declared on this filing
Disabilityinsured — COLONIAL LIFE & ACCIDENT INSURANCE COMPANY24 of 200 participants (12%)

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

Schedule A lists 2 insured contracts covering health, dental, vision and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 258 people.

Reported premium across the insured contracts is $1,228,201, with $20,597 in disclosed broker commissions — about 1.7% of premium.

The health contract's policy period ended in March, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.

DIGITAL INSURANCE INC. is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.

Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental, Vision258Apr 1, 2025$1,209,151$14,280
COLONIAL LIFE & ACCIDENT INSURANCE COMPANYDisability24Jan 1, 2025$19,050$6,317

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
AMERICAN PREMIER SERVICES
EIN 86-3687036

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 35 employees, 0 recordable cases, 0 days away from work.

EmployeesThe company's own average for the year
35
Hours worked
74,347
Recordable cases
0
Days away from work
0

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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