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Form 5500 · Employee benefit plan · PERRY, FL

BIG TOP MANUFACTURING, INC.

The filing calls this plan BIG TOP MANUFACTURING, INC. 125 PREMIUM ONLY PLAN - MEDICAL.

Public Form 5500 records show how BIG TOP MANUFACTURING, INC. of PERRY, FL, a manufacturing employer, structures its employee benefits. Its broker of record is BROWN & BROWN INSURANCE SERVICES IN. Coverage is written through BLUE CROSS BLUE SHIELD OF FLORIDA and 2 other carriers. The plan's most recent policy period ended in May.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 30-0818911 · plan 501 · plan year 2025, filed Dec 16, 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
147
Active at start of year
147
Active at end of year
159
Disclosed commissions
$60,129
Typical renewal
June 1

Benefits declared on this filing

Healthinsured — BLUE CROSS BLUE SHIELD OF FLORIDA157 of 147 participants
Dentalinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY159 of 147 participants
Visioninsured — UNITED OF OMAHA LIFE INSURANCE COMPANY159 of 147 participants
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY159 of 147 participants
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY159 of 147 participants

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 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF FLORIDA, covers 157 people.

Reported premium across the insured contracts is $1,144,775, with $60,129 in disclosed broker commissions — about 5.3% 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.

BROWN & BROWN INSURANCE SERVICES IN is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF FLORIDA, UNITED OF OMAHA LIFE INSURANCE COMPANY and AFLAC. BLUE CROSS BLUE SHIELD OF FLORIDA writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUE CROSS BLUE SHIELD OF FLORIDAHealth157Jun 1, 2025$942,606$32,991
UNITED OF OMAHA LIFE INSURANCE COMPANYDental, Vision, Life, Disability159Jun 1, 2025$194,776$26,305
AFLAC—56Jun 1, 2025$7,393$833

Premium and claims on this contract

BLUE CROSS BLUE SHIELD OF FLORIDA, contract 38838. For the contract year on this filing, the carrier reported $942,606 in premium earned and $688,857 in claims incurred. Dividing one by the other gives 73%.

  • BLUE CROSS BLUE SHIELD OF FLORIDA, contract 38838 reported $253,748 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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BIG TOP MANUFACTURING, INC.
EIN 30-0818911

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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