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Form 5500 · Employee benefit plan · MIAMI, FL

GROOT DESIGN DISTRICT HOSPITALITY

GROOT DESIGN DISTRICT HOSPITALITY of MIAMI, FL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BOON CHAPMAN BENEFIT ADMINISTRTORS. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-5224696 · plan 510 · as of Aug 2026

Participants
134
Carriers on file
3
Disclosed commissions
$38,532
Renewal month
December

Plan brief

Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 318 people.

Reported premium across the insured contracts is $1,598,118, with $38,532 in disclosed broker commissions — about 2.4% 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.

BOON CHAPMAN BENEFIT ADMINISTRTORS is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

3 carriers appear on the filing — UNITEDHEALTHCARE INSURANCE COMPANY, METROPOLITAN LIFE INSURANCE COMPANY and METLIFE LEGAL PLANS — with UNITEDHEALTHCARE INSURANCE COMPANY writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
METROPOLITAN LIFE INSURANCE COMPANYDental, Vision, Life, Disability324December$236,426$38,046
METLIFE LEGAL PLANS15December$2,352$486
UNITEDHEALTHCARE INSURANCE COMPANYHealth318December$1,359,340$0

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.

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