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Form 5500 · Employee benefit plan · BRADENTON, FL

FIRST WATCH RESTAURANTS, INC.

The filing calls this plan FIRST WATCH RESTAURANTS HEALTH AND WELFARE PLANS.

FIRST WATCH RESTAURANTS, INC. of BRADENTON, FL insures dental, vision, life, disability and stop-loss coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MCGRIFF INSURANCE SERVICES INC. Coverage is written through FLORIDA BLUE and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 65-0543723 · plan 501 · plan year 2024, filed Oct 10, 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

Self-funded as reported

The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
1,514
Active at start of year
1,514
Active at end of year
1,620
Disclosed commissions
$101,778
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentalinsured — AMERITAS LIFE INSURANCE CORP.2,556 of 1,514 participants
Visioninsured — AMERITAS LIFE INSURANCE CORP.2,556 of 1,514 participants
Lifeinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA704 of 1,514 participants (46%) on the largest contract
Disabilityinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA1,620 of 1,514 participants on the largest contract

2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

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 8 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with FLORIDA BLUE, covers 1,919 people.

The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $11,935,888 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.

Reported premium across the insured contracts is $13,522,974, with $101,778 in disclosed broker commissions — about 0.8% of premium.

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

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AMERITAS LIFE INSURANCE CORP.Dental, Vision2,556Jan 1, 2025$881,460$36,696
LIFE INSURANCE COMPANY OF NORTH AMERICADisability245Jan 1, 2025$186,889$28,033
LIFE INSURANCE COMPANY OF NORTH AMERICALife704Jan 1, 2025$152,105$22,816
LIFE INSURANCE COMPANY OF NORTH AMERICADisability1,620Jan 1, 2025$234,643$4,623
LIFE INSURANCE COMPANY OF NORTH AMERICALife1,620Jan 1, 2025$80,470$3,805
LIFE INSURANCE COMPANY OF NORTH AMERICA—1,048Jan 1, 2025$21,935$3,290
LIFE INSURANCE COMPANY OF NORTH AMERICA—1,620Jan 1, 2025$29,584$2,515
FLORIDA BLUEStop-loss1,919Jan 1, 2025$11,935,888$0

Premium and claims on this contract

FLORIDA BLUE, contract 71-6079N. For the contract year on this filing, the carrier reported $11,935,888 in premium earned and $10,773,222 in claims incurred. Dividing one by the other gives 90%.

  • FLORIDA BLUE, contract 71-6079N reported $1,162,666 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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
FIRST WATCH RESTAURANTS, INC.
EIN 65-0543723
RXBENEFITS, INC.
Claims processing · Contract administrator · Plan administrator · Recordkeeping and information management · EIN 63-1157085
$56,972
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Other plans filed by this employer

How this plan compares

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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.

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