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Form 5500 · Employee benefit plan · JACKSONVILLE, FL

SHANDS JACKSONVILLE MEDICAL CENTER, INC.

The filing calls this plan SHANDS JACKSONVILLE MEDICAL CENTER INC UF HEALTH JACKSONVILLE VOLUNTARY BENEFITS PLAN.

SHANDS JACKSONVILLE MEDICAL CENTER, INC. of JACKSONVILLE, FL spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is AP BENEFIT ADVISORS, LLC. Coverage is written through AMERICAN HERITAGE LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 59-2142859 · plan 510 · plan year 2024, filed Oct 13, 2025

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

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

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
11,438
Active at start of year
11,438
Active at end of year
5,580
Disclosed commissions
$467,216
Typical renewal
January 1

Benefits declared on this filing

Healthdeclared under plan 504
Dentaldeclared under plan 508
Visiondeclared under plan 509
Lifeinsured — AMERICAN HERITAGE LIFE INSURANCE COMPANY854 of 11,438 participants (7.5%)
Disabilitydeclared under plan 502

Life: AMERICAN HERITAGE LIFE INSURANCE COMPANY covers 854 of 11,438 participants (7.5%) on Schedule A.

Also declared: prepaid legal, 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

All 4 insured contracts are life coverage, split across AMERICAN HERITAGE LIFE INSURANCE COMPANY, COMBINED INSURANCE COMPANY and THE LEGAL PLAN, INC. D/B/A/ PREFERRED LEGAL PLAN.

Reported premium across the insured contracts is $2,351,987, with $467,216 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.

AP BENEFIT ADVISORS, LLC is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including AMERICAN HERITAGE LIFE INSURANCE COMPANY, COMBINED INSURANCE COMPANY and THE LEGAL PLAN, INC. D/B/A/ PREFERRED LEGAL PLAN. AMERICAN HERITAGE LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AMERICAN HERITAGE LIFE INSURANCE COMPANYLife854Jan 1, 2025$1,292,932$339,435
COMBINED INSURANCE COMPANY—1,513Jan 1, 2025$857,888$112,016
AMERICAN HERITAGE LIFE INSURANCE COMPANY—869Jan 1, 2025$158,562$10,759
THE LEGAL PLAN, INC. D/B/A/ PREFERRED LEGAL PLAN—330Jan 1, 2025$42,605$5,006

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
SHANDS JACKSONVILLE MEDICAL CENTER, INC.
EIN 59-2142859

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 5,738 employees, 206 recordable cases, 114 days away from work.

EmployeesThe company's own average for the year
5,738
Hours worked
8,084,704
Recordable cases
206
Days away from work
114

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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Renewal calendar

2,208 other employer plans in Florida are January 1 renewals (policy year ends December).

Their policy years end in December, like this plan’s, so most renew January 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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