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Form 5500 · Employee benefit plan · GAINESVILLE, GA

MANSFIELD OIL COMPANY OF GAINESVILLE, INC.

The filing calls this plan MANSFIELD OIL COMPANY OF GAINESVILLE, INC. WELFARE PLAN.

MANSFIELD OIL COMPANY OF GAINESVILLE, INC. of GAINESVILLE, GA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CHAMPION BENEFITS, AN ALERA GROUP. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 9 other carriers. The plan's most recent policy period ended in February.

Benefits broker of record
Policy year ends
Februaryas filed for plan year 2026

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-1091383 · plan 503 · plan year 2026, filed Sep 24, 2026

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65 other employer plans in Georgia have policy years ending in February. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

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.

All participants at the start of the year
983
Active at start of year
983
Active at end of year
954
Disclosed commissions
$277,000
Typical renewal
March 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY1,369 of 983 participants on the largest contract
Dentalinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY1,369 of 983 participants on the largest contract
Visioninsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY1,369 of 983 participants
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY763 of 983 participants (78%) on the largest contract
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY979 of 983 participants (99.6%) on the largest contract

Also declared: prepaid legal, 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.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

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 16 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 1,369 people.

Reported premium across the insured contracts is $3,079,259, with $277,000 in disclosed broker commissions — about 9% of premium.

The most recent policy period ended in February, and the plan year ends February 28. Group contracts typically renew on that annual cycle.

CHAMPION BENEFITS, AN ALERA GROUP is the broker of record on 14 of the 16 contracts; the rest name a different broker or none.

10 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY, UNUM LIFE INSURANCE COMPANY OF AMERICA and METROPOLITAN GENERAL INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental, Vision1,369Mar 1, 2026$2,285,870$197,738
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife763Mar 1, 2026$142,558$21,384
UNUM LIFE INSURANCE COMPANY OF AMERICALife964Mar 1, 2026$117,672$15,526
CIGNA HEALTH AND LIFE INSURANCE COMPANY—247Mar 1, 2026$82,015$15,142
CIGNA HEALTH AND LIFE INSURANCE COMPANY—259Mar 1, 2026$56,726$10,455
CIGNA HEALTH AND LIFE INSURANCE COMPANY—124Mar 1, 2026$52,328$9,663
METROPOLITAN GENERAL INSURANCE COMPANY—125Mar 1, 2026$28,022$3,884
UNUM LIFE INSURANCE COMPANY OF AMERICADisability964Mar 1, 2026$70,164$2,105
CIGNA DENTAL HEALTH OF TEXAS, INC.Health, Dental55Mar 1, 2026$12,741$887
CIGNA DENTAL HEALTH OF COLORADO, INC.Health, Dental6Mar 1, 2026$1,342$90
CIGNA DENTAL HEALTH OF OHIO, INC.Health, Dental4Mar 1, 2026$1,006$64
CIGNA HEALTHCARE OF CALIFORNIAHealth, Dental2Mar 1, 2026$335$31
CIGNA DENTAL HEALTH OF KANSAS, INC.Health, Dental1Mar 1, 2026$335$16
CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC.Health, Dental1Mar 1, 2026$335$15
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability979Mar 1, 2026$147,712$0
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife979Mar 1, 2026$80,098$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
MANSFIELD OIL COMPANY OF GAINESVILLE, INC.
EIN 58-1091383

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

Other plans filed by this employer

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Renewal calendar

65 other employer plans in Georgia are March 1 renewals (policy year ends February).

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