Form 5500 · Employee benefit plan · BROKEN BOW, NE
ADAMS LAND & CATTLE, LLC
The filing calls this plan ADAMS LAND & CATTLE, LLC BENEFIT PLAN.
ADAMS LAND & CATTLE, LLC of BROKEN BOW, NE files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is FIRST INSURANCE GROUP, LLC. Coverage is written through PRINCIPAL LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-0549633 · plan 509 · plan year 2025, filed Jul 14, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with PRINCIPAL LIFE INSURANCE COMPANY, covers 256 people.
Reported premium across the insured contracts is $184,053, with $16,276 in disclosed broker commissions — about 8.8% 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.
FIRST INSURANCE GROUP, LLC is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including PRINCIPAL LIFE INSURANCE COMPANY, HARTFORD LIFE AND ACCIDENT and AMERITAS LIFE INSURANCE CORP.. PRINCIPAL LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 149 | Jan 1, 2026 | $78,276 | $10,400 |
| PRINCIPAL LIFE INSURANCE COMPANY | Health, Dental | 256 | Jan 1, 2026 | $90,785 | $4,166 |
| AMERITAS LIFE INSURANCE CORP. | Vision | 154 | Jan 1, 2026 | $14,992 | $1,710 |
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.
Reported to OSHA
Reported to OSHA for 2025: 168 employees, 19 recordable cases, 250 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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