Form 5500 · Employee benefit plan · ASHEBORO, NC
PUGH LUBRICANTS, LLC
The filing calls this plan CADENCE PETROLEUM GROUP WELFARE PLAN.
PUGH LUBRICANTS, LLC of ASHEBORO, NC files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through AMERITAS LIFE INSURANCE CORP. and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-4084872 · plan 501 · plan year 2025, filed Jul 29, 2026
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1,311 other employer plans in North Carolina 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
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
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.
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 6 insured contracts covering dental, vision, life and disability; the largest, with AMERITAS LIFE INSURANCE CORP., covers 1,377 people.
The filing declares dental, vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $1,389,568, with $158,428 in disclosed broker commissions — about 11% 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.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 5 of the 6 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AMERITAS LIFE INSURANCE CORP. | Dental, Vision | 1,377 | Jan 1, 2026 | $451,586 | $45,159 |
| BANKERS FIDELITY LIFE INSURANCE COMPANY | Life | 232 | Jan 1, 2026 | $232,332 | $30,663 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 341 | Jan 1, 2026 | $196,444 | $29,467 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 328 | Jan 1, 2026 | $196,133 | $29,420 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 247 | Jan 1, 2026 | $158,126 | $23,719 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 816 | Jan 1, 2026 | $154,947 | $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.
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: 401 employees, 14 recordable cases, 287 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
1,311 other employer plans in North Carolina are January 1 renewals (policy year ends December).
Their policy years end in December, like this plan’s, so most renew January 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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