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Form 5500 · Employee benefit plan · LAKE MARY, FL

RETINA FLORIDA MSO, LLC

Public Form 5500 records show how RETINA FLORIDA MSO, LLC (LAKE MARY, FL) structures its employee benefits. Its broker of record is LEVI & ASSOCIATES INSURANCE. Coverage is written through BLUE CROSS BLUE SHIELD OF FLORIDA and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-4259954 · plan 501 · as of Jul 2026

Participants
100
Carriers on file
2
Disclosed commissions
$163,204
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
BLUE CROSS BLUE SHIELD OF FLORIDAHealth197December$84,434
HEALTH OPTIONS, INC.Health135December$78,770

Questions

Who is RETINA FLORIDA MSO, LLC's benefits broker?

Per its most recent Form 5500 Schedule A, RETINA FLORIDA MSO, LLC's broker of record is LEVI & ASSOCIATES INSURANCE.

What insurance carrier does RETINA FLORIDA MSO, LLC use?

RETINA FLORIDA MSO, LLC's benefit plan is written through BLUE CROSS BLUE SHIELD OF FLORIDA, among 2 disclosed carriers.

When does RETINA FLORIDA MSO, LLC's group plan renew?

The most recent Schedule A policy period for RETINA FLORIDA MSO, LLC ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from RETINA FLORIDA MSO, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.