Form 5500 · Employee benefit plan · CLEARWATER, FL
SMITH INDUSTRIES, INC.
The filing calls this plan SMITH INDUSTRIES, INC WELFARE BENEFITS PLAN.
SMITH INDUSTRIES, INC. of CLEARWATER, FL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HIGGINBOTHAM INSURANCE AGENCY. Coverage is written through HEALTH OPTIONS and 3 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 59-1743161 · plan 501 · plan year 2025, filed Nov 18, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
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 4 insured contracts covering health, dental, vision, life and disability; the largest, with HEALTH OPTIONS, covers 53 people.
Reported premium across the insured contracts is $554,306, with $31,814 in disclosed broker commissions — about 5.7% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
HIGGINBOTHAM INSURANCE AGENCY is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including HEALTH OPTIONS, BLUE CROSS BLUE SHIELD OF FLORIDA, HUMANA INSURANCE COMPANY and RELIANCE STANDARD LIFE INSURANCE COMPANY. HEALTH OPTIONS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HEALTH OPTIONS | Health | 53 | May 1, 2025 | $421,730 | $21,940 |
| BLUE CROSS BLUE SHIELD OF FLORIDA | Health | 8 | May 1, 2025 | $75,785 | $3,693 |
| HUMANA INSURANCE COMPANY | Health, Dental, Vision, Life | 100 | May 1, 2025 | $39,083 | $3,524 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 30 | May 1, 2025 | $17,708 | $2,657 |
Premium and claims on these contracts
HEALTH OPTIONS, contract 55809. For the contract year on this filing, the carrier reported $421,730 in premium earned and $330,215 in claims incurred. Dividing one by the other gives 78%.
BLUE CROSS BLUE SHIELD OF FLORIDA, contract 55809. For the contract year on this filing, the carrier reported $75,785 in premium earned and $62,144 in claims incurred. Dividing one by the other gives 82%.
- HEALTH OPTIONS, contract 55809 reported $91,516 in retention.
- BLUE CROSS BLUE SHIELD OF FLORIDA, contract 55809 reported $13,641 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.
Reported to OSHA
Reported to OSHA for 2025: 131 employees, 10 recordable cases, 15 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
Subscribers see how this compares with similar plans in Florida. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
More employer plans in Florida — largest plans, brokers, carriers and renewal months.