Form 5500 · Employee benefit plan · HOBBS, NM
LEGACY SAFETY & CONSULTING, LLC
The filing calls this plan LEGACY SAFETY & CONSULTING, LLC EMPLOYEE HEALTH & WELFARE BENEFITS PLAN.
LEGACY SAFETY & CONSULTING, LLC of HOBBS, NM is a 224-participant mining and energy extraction employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is GALLAGHER BENEFIT SERVICES INC. Coverage is written through BLUECROSS BLUESHIELD OF NEW MEXICO and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-3942311 · plan 501 · plan year 2025, filed Apr 28, 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
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 BLUECROSS BLUESHIELD OF NEW MEXICO, covers 615 people.
Reported premium across the insured contracts is $2,201,823, with $89,373 in disclosed broker commissions — about 4.1% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
GALLAGHER BENEFIT SERVICES INC 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 BLUECROSS BLUESHIELD OF NEW MEXICO, DEARBORN LIFE INSURANCE COMPANY and VISION SERVICE PLAN. BLUECROSS BLUESHIELD OF NEW MEXICO writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF NEW MEXICO | Health, Dental | 615 | Oct 1, 2025 | $1,992,811 | $70,766 |
| DEARBORN LIFE INSURANCE COMPANY | Life, Disability | 305 | Oct 1, 2025 | $180,983 | $18,607 |
| VISION SERVICE PLAN | Vision | 184 | Oct 1, 2025 | $28,029 | $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.
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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