Form 5500 · Employee benefit plan · OKLAHOMA CITY, OK
CHAMBERCARE BENEFIT ARRANGEMENT OF OKLAHOMA TRUST
The filing calls this plan CHAMBERCARE BENEFIT ARRANGEMENT OF OKLAHOMA TRUST BENEFIT PLAN.
CHAMBERCARE BENEFIT ARRANGEMENT OF OKLAHOMA TRUST of OKLAHOMA CITY, OK files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CROSS POINTE INSURANCE ADVISOR. Coverage is written through ALLIED BENEFIT SYSTEMS, LLC. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-3698237 · plan 501 · plan year 2025, filed Apr 20, 2026
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How this plan is funded
Self-funded as reported
The filing reports money held and paid out by the plan itself, and no medical insurance contract on Schedule A.
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.
The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.
Plan brief
The filing discloses a single insured line, stop-loss, through ALLIED BENEFIT SYSTEMS, LLC, covering 46 people.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The premium and commission here are for the stop-loss contract, not for medical premium.
Reported premium across the insured contracts is $3,197, with $1,050 in disclosed broker commissions — about 33% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ALLIED BENEFIT SYSTEMS, LLC | Stop-loss | 46 | Apr 1, 2025 | $3,197 | $1,050 |
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. The service providers are named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
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.
How this plan compares
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