Form 5500 · Employee benefit plan · TAMPA, FL
FAMOUS TATE ELECTRIC COMPANY
The filing calls this plan FAMOUS TATE ELECTRIC COMPANY CAFETERIA AND ERISA PLAN.
FAMOUS TATE ELECTRIC COMPANY of TAMPA, FL spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is WALLACE WELCH AND WILLINGHAM, INC.. Coverage is written through HEALTH OPTIONS and 4 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 59-2045478 · plan 501 · plan year 2025, filed Sep 30, 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: 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 and life; the largest, with HEALTH OPTIONS, covers 103 people.
Reported premium across the insured contracts is $1,502,498, with $80,982 in disclosed broker commissions — about 5.4% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
WALLACE WELCH AND WILLINGHAM, INC. is the broker of record on all 5 contracts.
5 carriers appear on the filing, including HEALTH OPTIONS, TRULI, USABLE LIFE and HUMANA INSURANCE COMPANY. HEALTH OPTIONS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HEALTH OPTIONS | Health | 103 | May 1, 2025 | $1,069,493 | $53,475 |
| TRULI | Health | 53 | May 1, 2025 | $363,289 | $18,164 |
| USABLE LIFE | Life | 241 | May 1, 2025 | $46,527 | $6,960 |
| HUMANA INSURANCE COMPANY | Dental, Vision | 116 | May 1, 2025 | $11,921 | $1,263 |
| FLORIDA COMBINED LIFE | Dental | 104 | May 1, 2025 | $11,268 | $1,120 |
Premium and claims on these contracts
HEALTH OPTIONS, contract D0785. For the contract year on this filing, the carrier reported $1,069,493 in premium earned and $857,412 in claims incurred. Dividing one by the other gives 80%.
TRULI, contract D0785. For the contract year on this filing, the carrier reported $363,289 in premium earned and $288,706 in claims incurred. Dividing one by the other gives 79%.
- HEALTH OPTIONS, contract D0785 reported $212,081 in retention.
- TRULI, contract D0785 reported $74,582 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.
Other plans filed by this employer
How this plan compares
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