Form 5500 · Employee benefit plan · MIDLAND, TX
BUCKEYE, INC.
The filing calls this plan BUCKEYE, INC. CAFETERIA PLAN.
Public Form 5500 records show how BUCKEYE, INC. of MIDLAND, TX, a mining and energy extraction employer, structures its employee benefits. Its broker of record is CAPSTONE STRATEGIES LLC. Coverage is written through BLUECROSS BLUESHIELD OF TEXAS and 1 other carrier. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 75-1180278 · plan 501 · plan year 2025, filed Sep 24, 2026
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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.
Benefits declared on this filing
Life: the largest of the 3 insured life contracts, with COLONIAL LIFE & ACCIDENT INSURANCE COMPANY, covers 15 of 160 participants (9.4%) on Schedule A.
Also declared: death benefits.
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 4 insured contracts covering health, life and disability; the largest, with BLUECROSS BLUESHIELD OF TEXAS, covers 160 people.
Reported premium across the insured contracts is $1,054,509, with $58,005 in disclosed broker commissions — about 5.5% of premium.
The health contract's policy period ended in August, while at least one ancillary line's policy period ended in April. The plan is on a split renewal cycle.
CAPSTONE STRATEGIES LLC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
Two carriers split the book: BLUECROSS BLUESHIELD OF TEXAS and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF TEXAS | Health | 160 | Sep 1, 2025 | $998,405 | $50,650 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life | 15 | May 1, 2025 | $31,946 | $5,786 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 16 | May 1, 2025 | $23,830 | $1,556 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 0 | May 1, 2025 | $328 | $13 |
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.
Other plans filed by this employer
How this plan compares
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