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Form 5500 · Employee benefit plan · OWASSO, OK

A NEW LEAF, INC.

The filing calls this plan A NEW LEAF, INC. WELFARE BENEFIT PLAN.

A NEW LEAF, INC. of OWASSO, OK is a 133-participant other services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HUB INTERNATIONAL MIDWEST LTD. Coverage is written through COMMUNITY CARE and 1 other carrier. The plan's most recent policy period ended in May.

Benefits broker of record
Insurance carrier
Policy year ends
Mayas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 73-1042760 · plan 505 · plan year 2025, filed Dec 18, 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.

All participants at the start of the year
133
Active at start of year
133
Active at end of year
118
Disclosed commissions
$13,208
Typical renewal
June 1

Benefits declared on this filing

Healthinsured — COMMUNITY CARE79 of 133 participants (59%)
Dentalinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY118 of 133 participants (89%)
Visioninsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY118 of 133 participants (89%)
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY118 of 133 participants (89%)
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY118 of 133 participants (89%)

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.

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, vision, life and disability; the largest, with COMMUNITY CARE, covers 79 people.

Reported premium across the insured contracts is $1,017,736, with $13,208 in disclosed broker commissions — about 1.3% of premium.

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

HUB INTERNATIONAL MIDWEST LTD is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

Two carriers split the book: COMMUNITY CARE and THE LINCOLN NATIONAL LIFE INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDental, Vision, Life, Disability118Jun 1, 2025$97,928$13,208
COMMUNITY CAREHealth79Jun 1, 2025$917,411$0
COMMUNITY CARE—283Jun 1, 2025$2,397$0

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
A NEW LEAF, INC.
EIN 73-1042760

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

Reported to OSHA

Reported to OSHA for 2025: 232 employees, 0 recordable cases, 0 days away from work.

EmployeesThe company's own average for the year
232
Hours worked
413,177
Recordable cases
0
Days away from work
0

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

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