Form 5500 · Employee benefit plan · ARDMORE, OK
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS, INC.
The filing calls this plan LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS, INC. SHORT TERM DISABILITY PLAN.
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS, INC. of ARDMORE, OK files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MULTIPLE BROKERS SEE APPENDIX. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 73-0618672 · plan 506 · plan year 2025, filed Dec 5, 2025
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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
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
All 2 insured contracts are disability coverage, split across UNITED OF OMAHA LIFE INSURANCE COMPANY and AFLAC.
Reported premium across the insured contracts is $209,775, with $27,370 in disclosed broker commissions — about 13% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
MULTIPLE BROKERS SEE APPENDIX is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: UNITED OF OMAHA LIFE INSURANCE COMPANY and AFLAC.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AFLAC | — | 76 | Jul 1, 2025 | $81,856 | $15,881 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 138 | Jul 1, 2025 | $127,919 | $11,489 |
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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