Form 5500 · Employee benefit plan · NOKOMIS, FL
PGT INNOVATIONS, INC.
The filing calls this plan PGT INNOVATIONS, INC. BENEFLEX PLAN.
Public Form 5500 records show how PGT INNOVATIONS, INC. of NOKOMIS, FL, a manufacturing employer, structures its employee benefits. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-0634715 · plan 502 · plan year 2024, filed Oct 2, 2025
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2,208 other employer plans in Florida have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Both, as reported
The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Health: KAISER FOUNDATION HEALTH PLAN, INC. covers 329 of 5,418 participants (6.1%) on Schedule A.
19 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
Also declared: death benefits, 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.
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 24 insured contracts covering health, vision, life and disability.
The filing declares health, vision, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 19 contracts here that do not say what they cover.
Reported premium across the insured contracts is $6,732,631, with $463,636 in disclosed broker commissions — about 6.9% 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.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 1 of the 24 contracts; the rest name a different broker or none.
Schedule A insurance contracts
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 160463. For the contract year on this filing, the carrier reported $1,110,181 in premium earned and $391,422 in claims incurred. Dividing one by the other gives 35%.
STANDARD INSURANCE COMPANY, contract 160463. For the contract year on this filing, the carrier reported $604,022 in premium earned and $345,701 in claims incurred. Dividing one by the other gives 57%.
STANDARD INSURANCE COMPANY, contract 160463. For the contract year on this filing, the carrier reported $661,250 in premium earned and $425,743 in claims incurred. Dividing one by the other gives 64%.
- STANDARD INSURANCE COMPANY, contract 160463 reported $718,763 in retention.
- STANDARD INSURANCE COMPANY, contract 160463 reported $288,797 in retention.
- STANDARD INSURANCE COMPANY, contract 160463 reported $298,408 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.
How this plan compares
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Renewal calendar
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