Form 5500 · Employee benefit plan · GUAYNABO, PR
GLAXOSMITHKLINE PUERTO RICO, INC.
GLAXOSMITHKLINE PUERTO RICO, INC. of GUAYNABO, PR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH & BENEFITS LLC. Coverage is written through EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 66-0613421 · plan 554 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 19 | December | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life | 280 | December | $0 |
| LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 15 | December | $0 |
| AETNA LIFE INSURANCE CO. | Health | 57 | December | $0 |
| TRIPLE S ADVANTAGE | — | 269 | December | $0 |
| TRIPLE S SALUD, INC. | Stop-loss | 100 | December | $0 |
Questions
Who is GLAXOSMITHKLINE PUERTO RICO, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, GLAXOSMITHKLINE PUERTO RICO, INC.'s broker of record is MERCER HEALTH & BENEFITS LLC.
What insurance carrier does GLAXOSMITHKLINE PUERTO RICO, INC. use?
GLAXOSMITHKLINE PUERTO RICO, INC.'s benefit plan is written through EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO., among 6 disclosed carriers.
When does GLAXOSMITHKLINE PUERTO RICO, INC.'s group plan renew?
The most recent Schedule A policy period for GLAXOSMITHKLINE PUERTO RICO, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from GLAXOSMITHKLINE PUERTO RICO, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.