Form 5500 · Employee benefit plan · WILLISTON, ND
PLAINS AG, LLC
The filing calls this plan PLAINS AG LLC - DENTAL AND EYECARE PLAN.
Public Form 5500 records show how PLAINS AG, LLC of WILLISTON, ND, a manufacturing employer, structures its employee benefits. Its broker of record is HOME OFFICE TPA PAYS COMMISSION. Coverage is written through EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA and 1 other carrier. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-3450928 · plan 504 · plan year 2024, filed Jul 28, 2025
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4 other employer plans in North Dakota 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.
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.
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 2 insured contracts covering dental and vision; the largest, with EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA, covers 249 people.
Reported premium across the insured contracts is $306,564, with $7,137 in disclosed broker commissions — about 2.3% of premium.
The most recent policy period ended in February, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
HOME OFFICE TPA PAYS COMMISSION is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA and AMERITAS LIFE INSURANCE CORP..
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AMERITAS LIFE INSURANCE CORP. | Vision | 554 | Mar 1, 2024 | $42,471 | $5,304 |
| EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | Dental | 249 | Mar 1, 2024 | $264,093 | $1,833 |
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: 43 employees, 0 recordable cases, 0 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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Renewal calendar
4 other employer plans in North Dakota are March 1 renewals (policy year ends February).
Their policy years end in February, like this plan’s, so most renew March 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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