Form 5500 · Employee benefit plan · GROVE, OK
SENECA CAYUGA NATION
The filing calls this plan SENECA-CAYUGA NATION WELFARE BENEFIT PLAN.
SENECA CAYUGA NATION of GROVE, OK files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is THE LILLARD COMPANY, LLC.. Coverage is written through BLUECROSS BLUESHIELD OF OKLAHOMA and 3 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 73-1015881 · plan 501 · plan year 2025, filed Feb 3, 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
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 4 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF OKLAHOMA, covers 231 people.
Reported premium across the insured contracts is $1,930,561, with $6,227 in disclosed broker commissions — about 0.3% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
THE LILLARD COMPANY, LLC. is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUECROSS BLUESHIELD OF OKLAHOMA, PRUDENTIAL INSURANCE COMPANY OF AMERICA, DELTA DENTAL OF OKLAHOMA and VISION SERVICE PLAN. BLUECROSS BLUESHIELD OF OKLAHOMA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF OKLAHOMA | Dental | 184 | Aug 1, 2025 | $84,174 | $5,050 |
| VISION SERVICE PLAN | Vision | 184 | Aug 1, 2025 | $22,409 | $1,177 |
| BLUECROSS BLUESHIELD OF OKLAHOMA | Health | 231 | Aug 1, 2025 | $1,639,574 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 228 | Aug 1, 2025 | $184,404 | $0 |
Premium and claims on this contract
DELTA DENTAL OF OKLAHOMA, contract 3652. For the contract year on this filing, the carrier reported $84,174 in premium earned and $77,132 in claims incurred. Dividing one by the other gives 92%.
- DELTA DENTAL OF OKLAHOMA, contract 3652 reported $10,994 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.
Other plans filed by this employer
How this plan compares
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