Plan Ledger DOL Form 5500 · updated monthly

Boston Scientific Puerto Rico LLCbenefits

Guidant Puerto Rico, B. V. Welfare Benefits Plan · DORADO, PR · plan year 2025

Broker compensation reported · 2025
$153,781

Boston Scientific Puerto Rico LLC's benefits plan covered 1,544 active participants in 2025, providing health · life · dental · vision · long-term disability · other. Insurance premiums totaled $314,079. Insurance brokers and agents were paid $153,781 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That works out to 49.0% of premiums. That is $100 per covered person, below the median for employer plans that report broker pay.

Insurance contracts · 20254
TRIPLE S SALUD INC · health drug dental stop-loss ppo$314K · 1,157 covered
LIFE INSURANCE COMPANY OF NORTH AMERICApremiums n/a · 1,367 covered
LIFE INSURANCE COMPANY OF NORTH AMERICA · lifepremiums n/a · 1,544 covered
TRIPLE-S VIDA, INC. · ltdpremiums n/a · 1,265 covered
Brokers & agents paid · 20253
INNOVA INSURANCE SERVICES INC$9,160
FULCRO INSURANCE$132,688
INNOVA INSURANCE$11,933 · incl $11,933 fees
Also brokered by Innova Insurance Services Inc2

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 661073832 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.