Form 5500 · Employee benefit plan · TULSA, OK
MARC MILLER BUICK GMC
The filing calls this plan MARC MILLER BUICK GMC EMPLOYEE BENEFIT PLAN.
MARC MILLER BUICK GMC of TULSA, OK spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through BLUECROSS BLUESHIELD OF OKLAHOMA and 4 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 73-0777699 · plan 501 · plan year 2025, filed Sep 25, 2025
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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: death benefits.
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 100 people.
Reported premium across the insured contracts is $927,918, with $53,004 in disclosed broker commissions — about 5.7% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL MIDWEST LIMITED is the broker of record on 3 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including BLUECROSS BLUESHIELD OF OKLAHOMA, AMERICAN FIDELITY ASSURANCE COMPANY, METROPOLITAN LIFE INSURANCE COMPANY and PRUDENTIAL INSURANCE COMPANY OF AMERICA. BLUECROSS BLUESHIELD OF OKLAHOMA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF OKLAHOMA | Health | 100 | May 1, 2025 | $762,332 | $38,117 |
| AMERICAN FIDELITY ASSURANCE COMPANY | Disability | 60 | May 1, 2025 | $79,167 | $6,197 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life | 124 | May 1, 2025 | $27,128 | $5,328 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 137 | May 1, 2025 | $46,680 | $2,416 |
| VISION SERVICE PLAN | Vision | 57 | May 1, 2025 | $12,611 | $946 |
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.
Other plans filed by this employer
How this plan compares
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