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Form 5500 · Employee benefit plan · JACKSONVILLE, FL

BLUE WATER INDUSTRIES LLC-FL

The filing calls this plan BLUE WATER INDUSTRIES LLC-FL EMPLOYEE BENEFITS PLAN.

BLUE WATER INDUSTRIES LLC-FL of JACKSONVILLE, FL is a 353-participant transportation and logistics employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PLAN ANALYSTS. Coverage is written through TOKIO MARINE HCC and 3 other carriers. The plan's most recent policy period ended in February.

Benefits broker of record
Insurance carrier
Policy year ends
Februaryas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-3773671 · plan 510 · plan year 2024, filed Sep 12, 2024

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

138 other employer plans in Florida have policy years ending in February. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Self-funded as reported

The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
353
Active at start of year
353
Active at end of year
0
Disclosed commissions
$53,654
Typical renewal
March 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentaldeclared, no contract here says it covers this
Visioninsured — UNITEDHEALTHCARE INSURANCE COMPANY652 of 353 participants
Lifeinsured — RELIANCE STANDARD LIFE INSURANCE COMPANY354 of 353 participants
Disabilityinsured — RELIANCE STANDARD LIFE INSURANCE COMPANY354 of 353 participants on the largest contract

2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

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 7 insured contracts covering vision, life, disability and stop-loss; the largest, with TOKIO MARINE HCC, covers 283 people.

The filing declares vision, life, disability, health and dental. Health and dental appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $487,113 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.

Reported premium across the insured contracts is $945,301, with $53,654 in disclosed broker commissions — about 5.7% of premium.

The most recent policy period ended in February, and the plan year ends February 29. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
RELIANCE STANDARD LIFE INSURANCE COMPANYLife354Mar 1, 2024$147,262$17,671
RELIANCE STANDARD LIFE INSURANCE COMPANYDisability354Mar 1, 2024$137,801$16,536
RELIANCE STANDARD LIFE INSURANCE COMPANYDisability354Mar 1, 2024$89,100$10,692
TOKIO MARINE HHC—275Mar 1, 2024$50,807$5,081
UNITEDHEALTHCARE INSURANCE COMPANYVision652Mar 1, 2024$29,256$3,199
RELIANCE STANDARD LIFE INSURANCE COMPANY—75Mar 1, 2024$3,962$475
TOKIO MARINE HCCStop-loss283Mar 1, 2024$487,113$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BLUE WATER INDUSTRIES LLC-FL
EIN 81-3773671

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

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Renewal calendar

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