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Form 5500 · Employee benefit plan · MUSKOGEE, OK

LOVE BOTTLING CO.

The filing calls this plan LOVE BOTTLING CO. EMPLOYEE BENEFITS PLAN.

LOVE BOTTLING CO. of MUSKOGEE, OK files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is FRASER INSURANCE INC. Coverage is written through BLUECROSS BLUESHIELD OF OKLAHOMA and 4 other carriers. The plan's most recent policy period ended in October.

Benefits broker of record
Policy year ends
Octoberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 73-0965850 · plan 501 · plan year 2025, filed Mar 30, 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.

All participants at the start of the year
133
Active at start of year
133
Active at end of year
128
Disclosed commissions
$96,458
Typical renewal
November 1

Benefits declared on this filing

Healthinsured — BLUECROSS BLUESHIELD OF OKLAHOMA181 of 133 participants
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA112 of 133 participants (84%)
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA112 of 133 participants (84%)
Lifeinsured — DEARBORN LIFE INSURANCE COMPANY127 of 133 participants (95%)
Disabilityinsured — DEARBORN LIFE INSURANCE COMPANY127 of 133 participants (95%)

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 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF OKLAHOMA, covers 181 people.

Reported premium across the insured contracts is $1,573,339, with $96,458 in disclosed broker commissions — about 6.1% of premium.

The most recent policy period ended in October, and the plan year ends October 31. Group contracts typically renew on that annual cycle.

FRASER INSURANCE INC is the broker of record on 4 of the 5 contracts; the rest name a different broker or none.

5 carriers appear on the filing, including BLUECROSS BLUESHIELD OF OKLAHOMA, DEARBORN LIFE INSURANCE COMPANY, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and AFLAC. BLUECROSS BLUESHIELD OF OKLAHOMA writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUECROSS BLUESHIELD OF OKLAHOMAHealth181Nov 1, 2025$1,347,899$67,395
DEARBORN LIFE INSURANCE COMPANYLife, Disability127Nov 1, 2025$97,562$12,540
AFLAC—34Nov 1, 2025$35,644$11,576
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision112Nov 1, 2025$83,916$4,708
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—12Nov 1, 2025$8,318$239

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
LOVE BOTTLING CO.
EIN 73-0965850

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 133 employees, 8 recordable cases, 21 days away from work.

EmployeesThe company's own average for the year
133
Hours worked
288,514
Recordable cases
8
Days away from work
21

Source: OSHA Injury Tracking Application establishment data, 2025.

How this plan compares

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