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Form 5500 · Employee benefit plan · MIAMI, FL

USA BOUQUET, LLC

The filing calls this plan USA BOUQUET, LLC WELFARE BENEFIT PLAN.

Public Form 5500 records show how USA BOUQUET, LLC of MIAMI, FL, a wholesale trade employer, structures its employee benefits. Its broker of record is MARSH & MCLENNAN AGENCY, LLC. Coverage is written through BLUE CROSS BLUE SHIELD OF FLORIDA and 5 other carriers. The plan's most recent policy period ended in November.

Benefits broker of record
Policy year ends
Novemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-8068971 · plan 501 · plan year 2025, filed Jul 23, 2026

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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.

All participants at the start of the year
230
Active at start of year
230
Active at end of year
86
Disclosed commissions
$28,166
Typical renewal
December 1

Benefits declared on this filing

Healthinsured — BLUE CROSS BLUE SHIELD OF FLORIDA20 of 230 participants (8.7%) on the largest contract
Dentalinsured — SOLSTICE BENEFITS, INC61 of 230 participants (27%)
Visioninsured — SOLSTICE BENEFITS, INC61 of 230 participants (27%)
Lifeinsured — USABLE LIFE86 of 230 participants (37%)
Disabilityinsured — USABLE LIFE86 of 230 participants (37%)

Health: the largest of the 3 insured health contracts, with BLUE CROSS BLUE SHIELD OF FLORIDA, covers 20 of 230 participants (8.7%) on Schedule A.

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 6 insured contracts covering health, dental, vision, life and disability.

Reported premium across the insured contracts is $415,826, with $28,166 in disclosed broker commissions — about 6.8% of premium.

The most recent policy period ended in November, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

MARSH & MCLENNAN AGENCY, LLC is the broker of record on 4 of the 6 contracts; the rest name a different broker or none.

6 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF FLORIDA, HEALTH OPTIONS, SOLSTICE BENEFITS, INC and USABLE LIFE. BLUE CROSS BLUE SHIELD OF FLORIDA writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUE CROSS BLUE SHIELD OF FLORIDAHealth20Dec 1, 2025$237,893$9,577
FIDELITY SECURITY LIFE INSURANCE COMPANYHealth16Dec 1, 2025$24,400$5,612
SOLSTICE BENEFITS, INCDental, Vision61Dec 1, 2025$50,354$5,035
USABLE LIFELife, Disability86Dec 1, 2025$26,259$3,452
AMERICAN HERITAGE LIFE INSURANCE COMPANY—9Dec 1, 2025$13,126$2,377
HEALTH OPTIONSHealth4Dec 1, 2025$63,794$2,113

Premium and claims on these contracts

BLUE CROSS BLUE SHIELD OF FLORIDA, contract 64644. For the contract year on this filing, the carrier reported $237,893 in premium earned and $182,083 in claims incurred. Dividing one by the other gives 77%.

HEALTH OPTIONS, contract 64644. For the contract year on this filing, the carrier reported $63,794 in premium earned and $50,353 in claims incurred. Dividing one by the other gives 79%.

  • BLUE CROSS BLUE SHIELD OF FLORIDA, contract 64644 reported $55,810 in retention.
  • HEALTH OPTIONS, contract 64644 reported $13,442 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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
USA BOUQUET, LLC
EIN 20-8068971

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

Other plans filed by this employer

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