Form 5500 · Employee benefit plan · SAN JUAN
PLAZA PROVISION COMPANY
The filing calls this plan PLAZA PROVISION- EMPLOYEE ASSISTANCE PROGRAM.
PLAZA PROVISION COMPANY of SAN JUAN, PR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is IKON INSURANCE, INC.. Coverage is written through OPTIMIND MANAGED BEHAVIORAL HEALTCARE ORGANIZATION. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 66-0177768 · plan 503 · plan year 2026, filed Jun 9, 2026
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25 other employer plans in the U.S. have policy years ending in January. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
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
The filing declares health. Health 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 the contract here that does not say what it covers.
Reported premium across the insured contracts is $9,581, with $958 in disclosed broker commissions — about 10% of premium.
The most recent policy period ended in January, and the plan year ends January 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| OPTIMIND MANAGED BEHAVIORAL HEALTCARE ORGANIZATION | — | 705 | Feb 1, 2026 | $9,581 | $958 |
Premium and claims on this contract
OPTIMIND MANAGED BEHAVIORAL HEALTCARE ORGANIZATION, contract PLAZAPROVISION. For the contract year on this filing, the carrier reported $9,581 in premium earned and $0 in claims incurred. Dividing one by the other gives 0%.
- OPTIMIND MANAGED BEHAVIORAL HEALTCARE ORGANIZATION, contract PLAZAPROVISION reported $958 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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Renewal calendar
25 other employer plans in the U.S. are February 1 renewals (policy year ends January).
Their policy years end in January, like this plan’s, so most renew February 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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