Form 5500 · Employee benefit plan · SAN JUAN
SOUTH AMERICAN RESTAURANTS, CORP.
The filing calls this plan SOUTH AMERICAN RESTAURANTS, CORP. WELFARE BENEFITS PLAN.
SOUTH AMERICAN RESTAURANTS, CORP. of SAN JUAN, PR is a 769-participant hospitality and food service employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HUB INTERNATIONAL PUERTO RICO, INC.. Coverage is written through TRIPLE S SALUD, INC. and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 66-0357499 · plan 507 · plan year 2026, filed Aug 3, 2026
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32 other employer plans in the U.S. have policy years ending in September. 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: 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 3 insured contracts covering health, dental, life and disability; the largest, with TRIPLE S SALUD, INC., covers 653 people.
Reported premium across the insured contracts is $3,436,605, with $84,430 in disclosed broker commissions — about 2.5% of premium.
The health contract's policy period ended in September, while at least one ancillary line's policy period ended in March. The plan is on a split renewal cycle.
HUB INTERNATIONAL PUERTO RICO, INC. is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including TRIPLE S SALUD, INC., METROPOLITAN LIFE INSURANCE COMPANY and DELTA DENTAL OF PUERTO RICO, INC.. TRIPLE S SALUD, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| TRIPLE S SALUD, INC. | Health, Life | 653 | Oct 1, 2025 | $3,184,100 | $53,999 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life, Disability | 828 | Apr 1, 2025 | $155,868 | $24,633 |
| DELTA DENTAL OF PUERTO RICO, INC. | Health, Dental | 689 | Oct 1, 2025 | $96,637 | $5,798 |
Premium and claims on these contracts
TRIPLE S SALUD, INC., contract SP0006473. For the contract year on this filing, the carrier reported $3,184,100 in premium earned and $2,859,814 in claims incurred. Dividing one by the other gives 90%.
DELTA DENTAL OF PUERTO RICO, INC., contract 2038. For the contract year on this filing, the carrier reported $96,637 in premium earned and $87,525 in claims incurred. Dividing one by the other gives 91%.
- TRIPLE S SALUD, INC., contract SP0006473 reported $53,999 in retention.
- DELTA DENTAL OF PUERTO RICO, INC., contract 2038 reported $5,798 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.
Other plans filed by this employer
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Renewal calendar
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