Form 5500 · Employee benefit plan · SAN JUAN
PUERTO RICO TELEPHONE COMPANY
The filing calls this plan PRTC GROUP ACCIDENT PLAN VOLUNTARY INS-24HRS.
Public Form 5500 records show how PUERTO RICO TELEPHONE COMPANY of SAN JUAN, PR, a information and media employer, structures its employee benefits. Its broker of record is HUB INTERNATIONAL PUERTO RICO, INC.. Coverage is written through CHUBB INSURANCE COMPANY. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 66-0564397 · plan 503 · plan year 2024, filed Jul 30, 2025
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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
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
The filing discloses a single insured line, health, through CHUBB INSURANCE COMPANY, covering 189 people.
Reported premium across the insured contracts is $18,468, with $3,693 in disclosed broker commissions — about 20% 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.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CHUBB INSURANCE COMPANY | Health | 189 | Jan 1, 2025 | $18,468 | $3,693 |
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.
Reported to OSHA
Reported to OSHA for 2025: 2,658 employees, 71 recordable cases, 275 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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