Form 5500 · Employee benefit plan · SAN JUAN
VPH MOTOR CORPORATION
The filing calls this plan VPH MOTOR CORPORATION EMPLOYEE BENEFIT PLAN.
VPH MOTOR CORPORATION of SAN JUAN, PR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CGF INSURANCE LLC. Coverage is written through TRIPLE S SALUD, INC. and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 66-0490437 · plan 501 · plan year 2024, filed Oct 10, 2025
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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.
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.
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 2 insured contracts covering health and dental; the largest, with TRIPLE S SALUD, INC., covers 202 people.
Reported premium across the insured contracts is $1,447,096, with $57,810 in disclosed broker commissions — about 4% 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.
CGF INSURANCE LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: TRIPLE S SALUD, INC. and DELTA DENTAL OF PUERTO RICO, INC..
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| TRIPLE S SALUD, INC. | Health | 202 | Jan 1, 2025 | $1,394,562 | $55,225 |
| DELTA DENTAL OF PUERTO RICO, INC. | Dental | 199 | Jan 1, 2025 | $52,534 | $2,585 |
Premium and claims on this contract
TRIPLE S SALUD, INC., contract SP0007482. For the contract year on this filing, the carrier reported $1,394,562 in premium earned and $980,609 in claims incurred. Dividing one by the other gives 70%.
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.
Other plans filed by this employer
How this plan compares
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