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Form 5500 · Employee benefit plan · OPA LOCKA, FL

DOSAL TOBACCO CORPORATION

The filing calls this plan DOSAL TOBACCO CORPORATION GROUP HEALTH PLAN.

DOSAL TOBACCO CORPORATION of OPA LOCKA, FL insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MARSH & MCLENNAN AGENCY LLC. Coverage is written through AETNA LIFE INSURANCE COMPANY and 4 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 59-0979845 · plan 501 · plan year 2025, filed Jun 3, 2026

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

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
155
Active at start of year
155
Active at end of year
150
Disclosed commissions
$103,965
Typical renewal
June 1

Benefits declared on this filing

Healthinsured — AETNA LIFE INSURANCE COMPANY181 of 155 participants
Dentalinsured — SOLSTICE BENEFITS, INC175 of 155 participants
Visioninsured — SOLSTICE BENEFITS, INC175 of 155 participants
Lifeinsured — UNITEDHEALTHCARE INSURANCE COMPANY163 of 155 participants on the largest contract
Disabilityinsured — AMERICAN HERITAGE LIFE INSURANCE COMPANY5 of 155 participants (3.2%)

Disability: AMERICAN HERITAGE LIFE INSURANCE COMPANY covers 5 of 155 participants (3.2%) on Schedule A.

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.

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 5 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 181 people.

Reported premium across the insured contracts is $1,573,365, with $103,965 in disclosed broker commissions — about 6.6% of premium.

The most recent policy period ended in May, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

MARSH & MCLENNAN AGENCY LLC is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.

5 carriers appear on the filing, including AETNA LIFE INSURANCE COMPANY, SOLSTICE BENEFITS, INC, UNITEDHEALTHCARE INSURANCE COMPANY and AMERICAN HERITAGE LIFE INSURANCE COMPANY. AETNA LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AETNA LIFE INSURANCE COMPANYHealth181Jun 1, 2025$1,474,394$93,276
SOLSTICE BENEFITS, INCDental, Vision175Jun 1, 2025$68,228$6,823
UNITEDHEALTHCARE INSURANCE COMPANYLife163Jun 1, 2025$15,403$1,540
FIDELITY SECURITY LIFE INSURANCE COMPANY—12Jun 1, 2025$7,579$1,516
AMERICAN HERITAGE LIFE INSURANCE COMPANYLife, Disability5Jun 1, 2025$7,761$810

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
DOSAL TOBACCO CORPORATION
EIN 59-0979845

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

Reported to OSHA

Reported to OSHA for 2025: 157 employees, 4 recordable cases, 18 days away from work.

EmployeesThe company's own average for the year
157
Hours worked
290,083
Recordable cases
4
Days away from work
18

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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