Plan Ledger DOL Form 5500 · updated monthly

Blue Racer Midstream Holdings, LLCbenefits

Blue Racer Midstream Holdings, LLC Employee Benefits Plan · TULSA, OK · plan year 2023

Broker compensation reported · 2023
$77,595

Blue Racer Midstream Holdings, LLC's benefits plan covered 0 active participants in 2023, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other. Insurance brokers and agents were paid $77,595 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage.

Insurance contracts · 20236
DEARBORN LIFE INSURANCE COMPANY · life std ltdpremiums n/a · 238 covered
AMERITAS LIFE INSURANCE CORPORATION · visionpremiums n/a · 501 covered
AFLACpremiums n/a · 7 covered
TELADOC HEALTH, INC.premiums n/a · 248 covered
AFLACpremiums n/a · 13 covered
BLUECROSS BLUESHIELD OF TEXAS · health drug dentalpremiums n/a · 669 covered
Brokers & agents paid · 20234
JERRY M. SHULER$1,284
WILLIAM C. COVINGTON & OTHER AGENTS$85
9 individual agents · names withheld$1,293

Individual agents paid under $1,000 on this filing are shown as a total. The amounts are as filed; only the personal names are withheld.

Also brokered by Lockton5
Banner Health AZ$2,557,307

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 455625126 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.