Form 5500 · Employee benefit plan · SAN JUAN
COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO
The filing calls this plan COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO-LONG TERM DISABILITY.
COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO of SAN JUAN, PR is a 146-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Coverage is written through COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 66-0231517 · plan 503 · plan year 2025, filed May 22, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
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.
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
The filing discloses a single insured line, disability, through COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO, covering 143 people.
Reported premium is $54,611; the filing discloses no broker commission on these contracts.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO | Disability | 143 | Dec 1, 2025 | $54,611 | $0 |
Premium and claims on this contract
COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO, contract 30-06511. For the contract year on this filing, the carrier reported $54,611 in premium earned and $7,709 in claims incurred. Dividing one by the other gives 14%.
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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