Hospital San Carlos Borromeo
Updated Filing received by DOL
Hospital San Carlos Borromeo, a healthcare & social assistance employer in Moca, Puerto Rico, reported 290 participants in its health and welfare plans for plan year 2025. Its Form 5500 shows $446,050 in insurance premiums across 2 contracts and $22,370 in broker commissions and fees, 5.0% of medical premium against a national median of 3.8% among plans that paid commissions in plan year 2024. The plan is fully insured (an insurance carrier pays claims). The Department of Labor received the filing on June 17, 2026, before the deadline.
Who was paid on Hospital San Carlos Borromeo's plan
Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Hospital San Carlos Borromeo filed for 2025.
| Broker or agent | Commissions | Fees | Total | Contracts |
|---|---|---|---|---|
| Ikon Insurance, Inc. · San Juan, PR | $22,370 | $0 | $22,370 | 2 |
Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2025, as published in EBSA's 2025 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.
Insurance contracts and carriers
Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.
| Carrier · coverage | Covered | Premium | Broker pay | Rate |
|---|---|---|---|---|
| First Medical Health Plan, Inc.health, dental, vision, life, prescription drug, PPO | 115 | $441,352 | $21,900 | 5.0% |
| Optimind Managed Behavioral Healtcare Organizationcoverage not coded | 290 | $4,698 | $470 | — |
Source: DOL Form 5500 Schedule A, plan year 2025. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.
How Hospital San Carlos Borromeo compares
Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.
Premium per covered person on medical contracts: $3,838 a year (national median $7,274).
Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.
Year over year
| 2024 | 2025 | Change | |
|---|---|---|---|
| Participants | 320 | 290 | −9.4% |
| Premiums filed | $521,651 | $446,050 | −14.5% |
| Broker commissions + fees | $25,745 | $22,370 | −13.1% |
| Commission rate | 4.9% | 5.0% | +0.1 pts |
Source: DOL Form 5500 filings for plan years 2024 and 2025.
Filings and timeliness
Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.
| Plan | Plan year end | Received by DOL | Timing | Participants |
|---|---|---|---|---|
| Hospital San Carlos Borromeo- Employee Assistance Program Plan#503 · insurance | January 31, 2026 | June 17, 2026 | before deadline | 290 |
| Hospital San Carlos Borromeo- Health Plan#501 · insurance | January 31, 2026 | June 17, 2026 | before deadline | 119 |
Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.
How much did Hospital San Carlos Borromeo pay in health insurance broker commissions in 2025?
Hospital San Carlos Borromeo's 2025 Form 5500 reports $22,370 in broker commissions and fees across 2 insurance contracts ($22,370 in commissions, $0 in fees), with Ikon Insurance, Inc. receiving the largest share.
Is Hospital San Carlos Borromeo's health plan self-funded or fully insured?
The 2025 filing indicates the plan is fully insured (an insurance carrier pays claims). Medical coverage is written by First Medical Health Plan, Inc..
How does Hospital San Carlos Borromeo's broker compensation compare with similar employers?
Hospital San Carlos Borromeo paid 5.0% of medical premium in commissions and fees. The median for employers with 200-499 participants is 3.6%, and the median in Puerto Rico is 5.0%. Percentages are computed only on fully insured medical contracts with filed premiums.
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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.