Form 5500 · Employee benefit plan · WELLINGTON, FL
PALM BEACH INTERNATIONAL EQUESTRIAN CENTER, LLC
The filing calls this plan PALM BEACH INTERNATIONAL EQUESTRIAN CENTER, LLC HEALTH AND WELFARE PLAN.
PALM BEACH INTERNATIONAL EQUESTRIAN CENTER, LLC of WELLINGTON, FL is a 127-participant arts, entertainment and recreation employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is MARSH & MCLENNAN AGENCY, LLC. Coverage is written through BLUE CROSS BLUE SHIELD OF FLORIDA and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 35-2699346 · plan 501 · plan year 2025, filed Jul 24, 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
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.
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 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF FLORIDA, covers 76 people.
Reported premium across the insured contracts is $971,015, with $44,092 in disclosed broker commissions — about 4.5% 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.
MARSH & MCLENNAN AGENCY, LLC is the broker of record on all 2 contracts.
Two carriers split the book: BLUE CROSS BLUE SHIELD OF FLORIDA and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA | Health | 76 | Jan 1, 2026 | $853,516 | $24,663 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 121 | Jan 1, 2026 | $117,499 | $19,429 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF FLORIDA, contract K3328. For the contract year on this filing, the carrier reported $853,516 in premium earned and $670,863 in claims incurred. Dividing one by the other gives 79%.
- BLUE CROSS BLUE SHIELD OF FLORIDA, contract K3328 reported $182,652 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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