Form 5500 · Employee benefit plan · CAROLINA
LILLY DEL CARIBE, INC.
Public Form 5500 records show how LILLY DEL CARIBE, INC. of CAROLINA, PR, a manufacturing employer, structures its employee benefits. Its broker of record is HUB INTERNATIONAL PUERTO RICO, INC.. Coverage is written through TRIPLE S ADVANTAGE and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 98-0167031 · plan 508 · as of Aug 2026
Plan brief
Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with TRIPLE S ADVANTAGE, covers 664 people.
Reported premium across the insured contracts is $2,227,905, with $74,467 in disclosed broker commissions — about 3.3% of premium.
The health contract's policy period ended in December, while at least one ancillary line renews in August — the plan is on a split renewal cycle.
HUB INTERNATIONAL PUERTO RICO, INC. is the broker of record on 2 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing — TRIPLE S ADVANTAGE, METROPOLITAN LIFE INSURANCE COMPANY, TRIPLE S SALUD, INC. and PRUDENTIAL INSURANCE COMPANY OF AMERICA among them — with TRIPLE S ADVANTAGE writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY | Life | 1,477 | December | $501,059 | $61,397 |
| TRIPLE-S VIDA, INC. | — | 1,100 | December | $63,455 | $12,691 |
| ACE AMERICAN INSURANCE COMPANY | — | 1,059 | August | $1,843 | $379 |
| TRIPLE S ADVANTAGE | Health, Dental, Vision | 664 | December | $1,241,916 | $0 |
| TRIPLE S SALUD, INC. | Dental, Vision | 40 | December | $332,624 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Disability | 1,066 | December | $87,008 | $0 |