Form 5500 · Employee benefit plan · JACKSONVILLE, FL
JEWISH FAMILY & COMMUNITY SERVICES, INC.
The filing calls this plan JEWISH FAMILY AND COMMUNITY SERVICES 5500.
JEWISH FAMILY & COMMUNITY SERVICES, INC. of JACKSONVILLE, FL insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MFB FINANCIAL INC. Coverage is written through HEALTH OPTIONS and 5 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 59-0637868 · plan 501 · plan year 2025, filed Jan 22, 2026
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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
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 6 insured contracts covering health, dental, vision, life and disability; the largest, with HEALTH OPTIONS, covers 86 people.
Reported premium across the insured contracts is $1,369,342, with $69,165 in disclosed broker commissions — about 5.1% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
MFB FINANCIAL INC is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing, including HEALTH OPTIONS, BLUE CROSS BLUE SHIELD OF FLORIDA, TRULI and HARTFORD LIFE AND ACCIDENT. HEALTH OPTIONS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 219 | Jul 1, 2025 | $100,598 | $22,721 |
| HEALTH OPTIONS | Health | 86 | Jul 1, 2025 | $665,784 | $16,881 |
| HUMANA INSURANCE COMPANY | Health, Dental, Vision | 148 | Jul 1, 2025 | $72,700 | $14,544 |
| BLUE CROSS BLUE SHIELD OF FLORIDA | Health | 37 | Jul 1, 2025 | $327,505 | $11,928 |
| STANDARD LIFE AND ACCIDENT INSURANCE COMPANY | Health | 50 | Jul 1, 2025 | $17,160 | $3,091 |
| TRULI | Health | 45 | Jul 1, 2025 | $185,595 | $0 |
Premium and claims on these contracts
HEALTH OPTIONS, contract 16296. For the contract year on this filing, the carrier reported $665,784 in premium earned and $548,406 in claims incurred. Dividing one by the other gives 82%.
BLUE CROSS BLUE SHIELD OF FLORIDA, contract 16296. For the contract year on this filing, the carrier reported $327,505 in premium earned and $261,349 in claims incurred. Dividing one by the other gives 80%.
TRULI, contract 16296. For the contract year on this filing, the carrier reported $185,595 in premium earned and the same figure again in claims incurred.
- HEALTH OPTIONS, contract 16296 reported $117,378 in retention.
- BLUE CROSS BLUE SHIELD OF FLORIDA, contract 16296 reported $66,156 in retention.
- TRULI, contract 16296 reported $-5,568 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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