Mansfield Oil Company of Gainesville, Inc.
Overview
Mansfield Oil Company of Gainesville, Inc. sponsors a self-funded health plan that covered 983 participants in plan year 2025, up 4% from the prior year. The plan year starts in March. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 983 · prior year 949
- Plan year
- Begins March 1 · next renewal March 2027
- Health plans filed
- Mansfield Oil Company of Gainesville, Inc. Welfare Plan, plan 503 (983 participants)
- Broker compensation
- $305K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Cigna Health and Life Insurance Company and Affiliates | Dental, Vision, HMO | 1,369 | $2.3M | $198K |
| The Lincoln National Life Insurance Company | Life, Long-term disability | 979 | $370K | $29K |
| Cigna Health and Life Insurance Company | Accident, Voluntary Critical Illness, Hospital Care | 259 | $191K | $47K |
| Unum Life Insurance Company of America | Life, Long-term disability | 964 | $188K | $27K |
| Metropolitan General Insurance Company | Legal | 125 | $28K | $4K |
| Cigna Dental Health of Texas, Inc. | Dental, HMO | 55 | $13K | $887 |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 983 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Mansfield Oil Company of Gainesville, Inc.
- Sponsor EIN
- 58-1091383
- Plan number
- 503
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 58-1091383 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Mansfield Oil Company of Gainesville 401(k) Plan
- Type
- 401(k) plan
- Participants
- 1,172
About this data
Source: Mansfield Oil Company of Gainesville, Inc.'s Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Mansfield Oil Company of Gainesville, Inc..