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Form 5500 · Employee benefit plan · AMARILLO, TX

AMARILLO NATIONAL BANK

The filing calls this plan AMARILLO NATIONAL BANK HEALTH BENEFIT PLAN AND TRUST.

AMARILLO NATIONAL BANK of AMARILLO, TX insures health, dental, vision, life, disability and stop-loss coverage for its employees, per Schedule A of its Form 5500. Its broker of record is UPSHAW INSURANCE AGENCY. Coverage is written through STEALTH PARTNER GROUP and 4 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 75-0107099 · plan 501 · plan year 2024, filed Oct 15, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

4,208 other employer plans in Texas have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Self-funded as reported

The plan's financial statement reports paying insurance carriers far less than the premium on its insurance contracts, so most benefits were paid from plan money.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
684
Active at start of year
684
Active at end of year
700
Disclosed commissions
$177,884
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — STEALTH PARTNER GROUP700 of 684 participants on the largest contract
Dentalinsured — AMERITAS LIFE INSURANCE CORP.1,328 of 684 participants
Visioninsured — AMERITAS LIFE INSURANCE CORP.1,328 of 684 participants
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY824 of 684 participants
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY488 of 684 participants (71%) on the largest contract

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.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

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 9 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with STEALTH PARTNER GROUP, covers 700 people.

The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.

Reported premium across the insured contracts is $2,663,583, with $177,884 in disclosed broker commissions — about 6.7% 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.

UPSHAW INSURANCE AGENCY is the broker of record on 8 of the 9 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
AMERITAS LIFE INSURANCE CORP.Dental, Vision1,328Jan 1, 2025$629,422$62,942
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability488Jan 1, 2025$201,627$44,358
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability300Jan 1, 2025$93,681$20,610
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability824Jan 1, 2025$77,426$17,034
UNITED OF OMAHA LIFE INSURANCE COMPANYLife824Jan 1, 2025$75,524$16,615
TOKIO MARINE HCC—701Jan 1, 2025$113,246$11,325
UNITEDHEALTHCARE INSURANCE COMPANYHealth44Jan 1, 2025$146,184$3,000
UNITEDHEALTHCARE INSURANCE COMPANYHealth44Jan 1, 2025$96,258$2,000
STEALTH PARTNER GROUPHealth, Stop-loss700Jan 1, 2025$1,230,215$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
AMARILLO NATIONAL BANK
EIN 75-0107099
UPSHAW INSURANCE AGENCY
AGENT · EIN 47-5239878
$166,400
paid directly by the plan
INSURANCE MANAGEMENT SERVICES
Claims processing · Plan administrator · EIN 75-2355889
$292,529
paid directly by the plan
MAXORPLUS
PHARMACY BENEFIT MANAGER · EIN 75-2676894
$29,467
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$2,264,867
Paid out in benefits
$10,361,313
Paid to insurance carriersSchedule H, line 2e(2)
$602,500
Independent accountantEIN 46-3602660
JOHNSON & SHELDON, PLLC
Accountant's opinion (Schedule H, line 3a)
Unmodified

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

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Renewal calendar

4,208 other employer plans in Texas are January 1 renewals (policy year ends December).

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