Form 5500 · Employee benefit plan · JACKSONVILLE, FL
FIDELITY NATIONAL INFORMATION SERVICES, INC.
The filing calls this plan FIDELITY NATIONAL INFORMATION SERVICES, INC. HEALTH & WELFARE PLAN.
Public Form 5500 records show how FIDELITY NATIONAL INFORMATION SERVICES, INC. of JACKSONVILLE, FL, a finance and insurance employer, structures its employee benefits. Its broker of record is MERCER HEALTH & BENEFITS ADMIN LLC. Coverage is written through METROPOLITAN LIFE INSURANCE COMPANY and 9 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 37-1490331 · plan 504 · plan year 2024, filed Oct 9, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
2,208 other employer plans in Florida have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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: prepaid legal, death benefits, 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 20 insured contracts covering health, dental, vision, life and disability; the largest, with METROPOLITAN LIFE INSURANCE COMPANY, covers 32,193 people.
Reported premium across the insured contracts is $47,564,041, with $2,363,839 in disclosed broker commissions — about 5% of premium.
The health contract's policy period ended in December, while at least one ancillary line's policy period ended in June. The plan is on a split renewal cycle.
MERCER HEALTH & BENEFITS ADMIN LLC is the broker of record on 8 of the 20 contracts; the rest name a different broker or none.
10 carriers appear on the filing, including METROPOLITAN LIFE INSURANCE COMPANY, PRUDENTIAL INSURANCE COMPANY OF AMERICA, FIDELITY SECURITY LIFE INSURANCE COMPANY and KAISER FOUNDATION HEALTH PLAN, INC.. METROPOLITAN LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 4,528 | Jan 1, 2025 | $1,708,639 | $770,036 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 2,934 | Jan 1, 2025 | $1,034,263 | $361,513 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 6,676 | Jan 1, 2025 | $879,038 | $312,952 |
| TRANSAMERICA LIFE INSURANCE COMPANY | Life | 1,868 | Jan 1, 2025 | $1,209,021 | $251,289 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life | 35,751 | Jan 1, 2025 | $12,704,452 | $215,976 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 32,193 | Jan 1, 2025 | $16,346,101 | $180,179 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 27,494 | Jan 1, 2025 | $3,644,594 | $79,291 |
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 9,981 | Jan 1, 2025 | $3,368,917 | $61,972 |
| METLIFE LEGAL PLANS | — | 2,929 | Jan 1, 2025 | $578,850 | $58,007 |
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 8,497 | Jan 1, 2025 | $2,744,760 | $51,562 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 289 | Jan 1, 2025 | $137,870 | $20,681 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 176 | Jan 1, 2025 | $1,570,911 | $6,179 |
| NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | — | 25,168 | Jul 1, 2024 | $14,948 | $2,990 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 76 | Jan 1, 2025 | $678,425 | $2,850 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 311 | Jan 1, 2025 | $27,423 | $784 |
| NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | — | 18,211 | Jul 1, 2024 | $1,668 | $334 |
| CARELON BEHAVIORAL HEALTH | — | 49,625 | Jan 1, 2025 | $664,981 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 21 | Jan 1, 2025 | $221,462 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 50 | Jan 1, 2025 | $14,216 | $-12,756 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 113 | Jan 1, 2025 | $13,502 | — |
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
Subscribers see how this compares with similar plans in Florida. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
Renewal calendar
2,208 other employer plans in Florida are January 1 renewals (policy year ends December).
Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
Claude & ChatGPT
Look up records from Claude or ChatGPT
Add Form5500Lookup to Claude or ChatGPT and ask about any employer, broker or carrier in plain English. Lookups are free. Renewal lists, full books of business and exports are included with a subscription.
Building a list or a tool from these records? Match a list you already have from $29 per 1,000 records, or license the whole dataset as a weekly file for $499 a month. See both
More employer plans in Florida — largest plans, brokers, carriers and renewal months.