Form 5500 · Employee benefit plan · ARTESIA, NM
MACK ENERGY CORPORATION
The filing calls this plan MACK ENERGY CORPORATION WELFARE BENEFITS PLAN.
MACK ENERGY CORPORATION of ARTESIA, NM spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is FROST INSURANCE AGENCY. Coverage is written through AMERICAN UNITED LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 85-0381433 · plan 501 · plan year 2023, filed Jul 16, 2024
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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
One contract on this filing does not say which benefits it covers, so a line above may be insured by it.
Also declared: death benefits, 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 4 insured contracts covering health, vision and life; the largest, with AMERICAN UNITED LIFE INSURANCE COMPANY, covers 94 people.
The filing declares health, vision, life and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on the contract here that does not say what it covers.
Reported premium across the insured contracts is $134,679, with $17,888 in disclosed broker commissions — about 13% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
FROST INSURANCE AGENCY is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AMERICAN UNITED LIFE INSURANCE COMPANY | Life | 94 | Jan 1, 2024 | $85,634 | $12,845 |
| VISION SERVICE PLAN | Vision | 94 | Jan 1, 2024 | $26,690 | $2,807 |
| HCC LIFE INSURANCE COMPANY | Health | 93 | Jan 1, 2024 | $22,355 | $2,236 |
| IMAGINE360 | — | 94 | Jan 1, 2024 | — | $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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