Form 5500 · Employee benefit plan · OMAHA, NE
OMAHA TRACK, INC.
The filing calls this plan OMAHA TRACK HEALTH AND WELFARE BENEFIT PLAN.
OMAHA TRACK, INC. of OMAHA, NE files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL INS. SVCES., INC.. Coverage is written through BLUE CROSS BLUE SHIELD OF NEBRASKA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-0692129 · plan 501 · plan year 2025, filed Jun 24, 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.
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, life and disability; the largest, with BLUE CROSS BLUE SHIELD OF NEBRASKA, covers 330 people.
The filing declares health, vision, life, disability 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 $2,333,743, with $44,130 in disclosed broker commissions — about 1.9% 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.
HUB INTERNATIONAL INS. SVCES., INC. 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 |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 274 | Jan 1, 2026 | $222,276 | $40,949 |
| AMERITAS LIFE INSURANCE CORP. | Vision | 437 | Jan 1, 2026 | $31,571 | $3,181 |
| BLUE CROSS BLUE SHIELD OF NEBRASKA | Health | 330 | Jan 1, 2026 | $2,072,463 | $0 |
| CURALINC LLC | — | 267 | Jan 1, 2026 | $7,433 | $0 |
Premium and claims on this contract
BLUE CROSS BLUE SHIELD OF NEBRASKA, contract 107476. For the contract year on this filing, the carrier reported $2,072,463 in premium earned and $1,673,975 in claims incurred. Dividing one by the other gives 81%.
- BLUE CROSS BLUE SHIELD OF NEBRASKA, contract 107476 reported $237,320 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: 184 employees, 5 recordable cases, 130 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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