Form 5500 · Employee benefit plan · OPA-LOCKA, FL
CIGARETTE HOLDINGS, LLC
The filing calls this plan CIGARETTE HOLDINGS, LLC HEALTH AND WELFARE PLAN.
CIGARETTE HOLDINGS, LLC of OPA-LOCKA, FL is a 138-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is INSURANCE OFFICE OF AMERICA. Coverage is written through HEALTH OPTIONS and 2 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-0855845 · plan 510 · plan year 2025, filed Nov 21, 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: 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 3 insured contracts covering health, dental, vision, life and disability.
Reported premium across the insured contracts is $310,342, with $19,495 in disclosed broker commissions — about 6.3% 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.
INSURANCE OFFICE OF AMERICA is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including HEALTH OPTIONS, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and BLUE CROSS BLUE SHIELD OF FLORIDA. HEALTH OPTIONS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HEALTH OPTIONS | Health | 32 | Jun 1, 2025 | $211,641 | $9,523 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 105 | Jun 1, 2025 | $65,748 | $8,489 |
| BLUE CROSS BLUE SHIELD OF FLORIDA | Health | 3 | Jun 1, 2025 | $32,953 | $1,483 |
Premium and claims on these contracts
HEALTH OPTIONS, contract K5857. For the contract year on this filing, the carrier reported $211,641 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
BLUE CROSS BLUE SHIELD OF FLORIDA, contract K5857. For the contract year on this filing, the carrier reported $32,953 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
- HEALTH OPTIONS, contract K5857 reported $9,523 in retention.
- BLUE CROSS BLUE SHIELD OF FLORIDA, contract K5857 reported $6,419 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.
Reported to OSHA
Reported to OSHA for 2025: 121 employees, 21 recordable cases, 113 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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