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Form 5500 · Employee benefit plan · WAVERLY, FL

PAVO HOLDING CORP

The filing calls this plan PAVO HOLDING CORP WELFARE BENEFITS PLAN.

Public Form 5500 records show how PAVO HOLDING CORP of WAVERLY, FL, a transportation and logistics employer, structures its employee benefits. Its broker of record is ACRISURE SOUTHWEST PARTNERS, INC.. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in March.

Benefits broker of record
Policy year ends
Marchas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-3084499 · plan 501 · plan year 2025, filed Oct 27, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

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.

All participants at the start of the year
168
Active at start of year
168
Active at end of year
150
Disclosed commissions
$33,913
Typical renewal
April 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY72 of 168 participants (43%)
Dentalinsured — SUN LIFE ASSURANCE COMPANY OF CANADA173 of 168 participants
Visioninsured — SUN LIFE ASSURANCE COMPANY OF CANADA173 of 168 participants
Lifeinsured — SUN LIFE ASSURANCE COMPANY OF CANADA173 of 168 participants
Disabilityinsured — SUN LIFE ASSURANCE COMPANY OF CANADA173 of 168 participants

Also declared: other welfare.

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 UNITEDHEALTHCARE INSURANCE COMPANY, covers 72 people.

Reported premium across the insured contracts is $972,604, with $33,913 in disclosed broker commissions — about 3.5% of premium.

The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.

ACRISURE SOUTHWEST PARTNERS, INC. is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.

Two carriers split the book: UNITEDHEALTHCARE INSURANCE COMPANY and SUN LIFE ASSURANCE COMPANY OF CANADA.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
SUN LIFE ASSURANCE COMPANY OF CANADADental, Vision, Life, Disability173Apr 1, 2025$185,485$33,913
UNITEDHEALTHCARE INSURANCE COMPANYHealth72Apr 1, 2025$787,119$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
PAVO HOLDING CORP
EIN 87-3084499

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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