Form 5500 · Employee benefit plan · LARGO, FL
BELCHER PHARMACEUTICALS, LLC.
The filing calls this plan BELCHER PHARMACEUTICALS LLC HEALTH AND WELFARE PLAN.
BELCHER PHARMACEUTICALS, LLC. of LARGO, FL spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is INSURANCE OFFICE OF AMERICA INC-TAM. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-2953742 · plan 501 · plan year 2024, filed Oct 6, 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
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 and vision; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 241 people.
Reported premium across the insured contracts is $1,565,023, with $18,967 in disclosed broker commissions — about 1.2% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in May. The plan is on a split renewal cycle.
INSURANCE OFFICE OF AMERICA INC-TAM is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, TRANSAMERICA LIFE INSURANCE COMPANY and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Vision | 131 | Jun 1, 2024 | $87,707 | $8,701 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | 37 | Jun 1, 2024 | $28,047 | $5,184 |
| TRANSAMERICA LIFE INSURANCE COMPANY | Health | 54 | Jan 1, 2025 | $39,894 | $5,082 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 241 | Jun 1, 2024 | $1,409,375 | $0 |
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.
Reported to OSHA
Reported to OSHA for 2025: 104 employees, 0 recordable cases, 0 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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