Form 5500 · Employee benefit plan · RAPID CITY, SD
MG OIL COMPANY
The filing calls this plan MG OIL WELFARE BENEFIT PLAN.
Public Form 5500 records show how MG OIL COMPANY of RAPID CITY, SD, a wholesale trade employer, structures its employee benefits. Its broker of record is WENDY L SWARTZ. Coverage is written through WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-0344091 · plan 501 · plan year 2025, filed Aug 26, 2026
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291 other employer plans in South Dakota have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
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.
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 5 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA, covers 278 people.
The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.
Reported premium across the insured contracts is $3,236,284, with $117,505 in disclosed broker commissions — about 3.6% 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.
WENDY L SWARTZ is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AFLAC | Life, Disability | 340 | Jan 1, 2026 | $334,140 | $76,321 |
| WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA | Health, Stop-loss | 278 | Jan 1, 2026 | $2,868,370 | $35,350 |
| STANDARD INSURANCE COMPANY | Life | 161 | Jan 1, 2026 | $20,201 | $3,843 |
| OPTILEGRA | Vision | 176 | Jan 1, 2026 | $13,573 | $1,291 |
| DELTA DENTAL OF SOUTH DAKOTA | Dental | 236 | Jan 1, 2026 | — | $700 |
Premium and claims on these contracts
WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA, contract 986. For the contract year on this filing, the carrier reported $2,868,370 in premium earned and $2,105,864 in claims incurred. Dividing one by the other gives 73%.
STANDARD INSURANCE COMPANY, contract 166898. For the contract year on this filing, the carrier reported $20,201 in premium earned and $-374 in claims incurred. Dividing one by the other gives -2%.
OPTILEGRA, contract 2081. For the contract year on this filing, the carrier reported $13,573 in premium earned and $7,368 in claims incurred. Dividing one by the other gives 54%.
- WELLMARK BLUE CROSS AND BLUE SHIELD OF SOUTH DAKOTA, contract 986 reported $762,506 in retention.
- STANDARD INSURANCE COMPANY, contract 166898 reported $21,382 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Reported to OSHA
Reported to OSHA for 2025: 1,266 employees, 37 recordable cases, 165 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
One establishment filed under this EIN is left out of these figures: the hours and employees it reported could not both be right.
Other plans filed by this employer
How this plan compares
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Renewal calendar
291 other employer plans in South Dakota are January 1 renewals (policy year ends December).
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