Form 5500 · Employee benefit plan · SAN JUAN
EMPRESAS SANTANA
The filing calls this plan EMPRESAS SANTANA - HEALTH PLAN.
EMPRESAS SANTANA of SAN JUAN, PR is a 228-participant hospitality and food service employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is AON RISK SERVICES. Coverage is written through TRIPLE S SALUD, INC.. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 66-0598985 · plan 501 · plan year 2025, filed May 21, 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
Schedule A lists 1 insured contract covering health, dental and vision; the largest, with TRIPLE S SALUD, INC., covers 228 people.
Reported premium across the insured contracts is $109,496, with $2,252 in disclosed broker commissions — about 2.1% of premium.
The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| TRIPLE S SALUD, INC. | Health, Dental, Vision | 228 | Nov 1, 2025 | $109,496 | $2,252 |
Premium and claims on this contract
TRIPLE S SALUD, INC., contract SP0003772. For the contract year on this filing, the carrier reported $109,496 in premium earned and $94,917 in claims incurred. Dividing one by the other gives 87%.
- TRIPLE S SALUD, INC., contract SP0003772 reported $2,252 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.
Other plans filed by this employer
How this plan compares
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