Form 5500 · Employee benefit plan · DICKINSON, ND
WYOMING CASING SERVICE, INC.
The filing calls this plan WYOMING CASING SERVICE, INC. WELFARE BENEFIT PLAN.
Public Form 5500 records show how WYOMING CASING SERVICE, INC. of DICKINSON, ND, a manufacturing employer, structures its employee benefits. Its broker of record is AZURANCE GROUP, INC.. Coverage is written through BLUE CROSS BLUE SHIELD OF NORTH DAKOTA and 3 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-0234932 · plan 501 · plan year 2025, filed Dec 15, 2025
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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: 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, dental, vision and life; the largest, with BLUE CROSS BLUE SHIELD OF NORTH DAKOTA, covers 308 people.
Reported premium is $2,386,730; the filing discloses no broker commission on these contracts.
The health contract's policy period ended in August, while at least one ancillary line's policy period ended in September. The plan is on a split renewal cycle.
AZURANCE GROUP, INC. is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUE CROSS BLUE SHIELD OF NORTH DAKOTA, DELTA DENTAL OF MINNESOTA, VISION SERVICE PLAN and UNUM LIFE INSURANCE COMPANY OF AMERICA. BLUE CROSS BLUE SHIELD OF NORTH DAKOTA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | Health | 308 | Sep 1, 2025 | $2,231,043 | $0 |
| DELTA DENTAL OF MINNESOTA | Dental | 385 | Sep 1, 2025 | $118,569 | $0 |
| VISION SERVICE PLAN | Vision | 152 | Sep 1, 2025 | $28,075 | $0 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 219 | Sep 2, 2025 | $9,043 | $0 |
Premium and claims on this contract
DELTA DENTAL OF MINNESOTA, contract 268234. For the contract year on this filing, the carrier reported $118,569 in premium earned and $86,792 in claims incurred. Dividing one by the other gives 73%.
- DELTA DENTAL OF MINNESOTA, contract 268234 reported $27,674 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.
Other plans filed by this employer
How this plan compares
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