Form 5500 · Employee benefit plan · BONITA SPRINGS, FL
SHAW DEVELOPMENT, LLC
The filing calls this plan SHAW DEVELOPMENT, LLC EMPLOYEE WELFARE BENEFIT PLAN.
SHAW DEVELOPMENT, LLC of BONITA SPRINGS, FL is a 257-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HUB INTERNATIONAL. Coverage is written through BLUE CROSS BLUE SHIELD OF FLORIDA and 4 other carriers. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 11-2062656 · plan 505 · plan year 2025, filed Feb 18, 2026
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151 other employer plans in Florida have policy years ending in October. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF FLORIDA, covers 136 people.
Reported premium across the insured contracts is $2,582,161, with $105,106 in disclosed broker commissions — about 4.1% of premium.
The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF FLORIDA, HEALTH OPTIONS, UNITED OF OMAHA LIFE INSURANCE COMPANY and PRINCIPAL LIFE INSURANCE COMPANY. BLUE CROSS BLUE SHIELD OF FLORIDA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA | Health | 136 | Nov 1, 2025 | $1,946,272 | $58,388 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 200 | Nov 1, 2025 | $210,234 | $31,535 |
| HEALTH OPTIONS | Health | 15 | Nov 1, 2025 | $283,792 | $8,514 |
| PRINCIPAL LIFE INSURANCE COMPANY | Health, Dental | 341 | Nov 1, 2025 | $122,041 | $5,051 |
| HUMANA INSURANCE COMPANY | Vision | 181 | Nov 1, 2025 | $19,822 | $1,618 |
Premium and claims on these contracts
BLUE CROSS BLUE SHIELD OF FLORIDA, contract 59892. For the contract year on this filing, the carrier reported $1,946,272 in premium earned and $1,557,017 in claims incurred. Dividing one by the other gives 80%.
HEALTH OPTIONS, contract 59892. For the contract year on this filing, the carrier reported $283,792 in premium earned and $232,993 in claims incurred. Dividing one by the other gives 82%.
- BLUE CROSS BLUE SHIELD OF FLORIDA, contract 59892 reported $389,254 in retention.
- HEALTH OPTIONS, contract 59892 reported $50,799 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.
Reported to OSHA
Reported to OSHA for 2025: 223 employees, 9 recordable cases, 43 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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