Form 5500 · Employee benefit plan · SAN JUAN
BACARDI CORPORATION
The filing calls this plan GROUP LIFE AND AD&D AND HEALTH INSURANCE PLAN FOR PRODUCTION AND MAINTENANCE EMPLOYEES OF BACARDI CORPORATION.
BACARDI CORPORATION of SAN JUAN, PR is a small manufacturing employer whose insured group plan is on public record in its Form 5500 filing. Its broker of record is IKON INSURANCE, INC.. Coverage is written through TRIPLE S SALUD, INC. and 1 other carrier. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 66-0175247 · plan 504 · plan year 2025, filed Oct 13, 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.
Benefits declared on this filing
Also declared: death benefits.
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 4 insured contracts covering health, dental and life; the largest, with TRIPLE S SALUD, INC., covers 66 people.
Reported premium across the insured contracts is $794,099, with $45,463 in disclosed broker commissions — about 5.7% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
IKON INSURANCE, INC. is the broker of record on all 4 contracts.
Two carriers split the book: TRIPLE S SALUD, INC. and NEW YORK LIFE GROUP BENEFIT SOLUTIONS.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| TRIPLE S SALUD, INC. | Health, Dental | 66 | Apr 1, 2025 | $748,267 | $37,413 |
| NEW YORK LIFE GROUP BENEFIT SOLUTIONS | Life | 61 | Apr 1, 2025 | $41,733 | $7,303 |
| NEW YORK LIFE GROUP BENEFIT SOLUTIONS | — | 61 | Apr 1, 2025 | $3,370 | $590 |
| NEW YORK LIFE GROUP BENEFIT SOLUTIONS | — | 61 | Apr 1, 2025 | $729 | $157 |
Premium and claims on this contract
TRIPLE S SALUD, INC., contract SP0004036. For the contract year on this filing, the carrier reported $748,267 in premium earned and $723,264 in claims incurred. Dividing one by the other gives 97%.
- TRIPLE S SALUD, INC., contract SP0004036 reported $37,413 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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