# LEWIS ENERGY GROUP HEALTH CARE PLAN

Health and welfare plan sponsored by **LEWIS ENERGY GROUP, LP**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LEWIS ENERGY GROUP, LP |
| EIN | 742910903 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SAN ANTONIO, TX |
| Industry | oil & energy |
| Funding | mixed |
| Total premiums | $1.3M |
| Participants | 893 |
| Persons covered | 1,452 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| BLUECROSS BLUESHIELD OF ILLINOIS | Dental |
| AETNA LIFE INSURANCE COMPANY | Indemnity, Other |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| LOCKTON COMPANIES, LLC | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| IMG | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| LOCKTON COMPANIES, LLC | BLUECROSS BLUESHIELD OF TEXAS |
| LOCKTON COMPANIES, LLC | AETNA LIFE INSURANCE COMPANY |
| LOCKTON COMPANIES, LLC | FIDELITY SECURITY LIFE INSURANCE COMPANY |
| DARELL LAWAYNE EIDSON | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| GALLAGHER BENEFIT SERVICES, INC. | UNUM LIFE INSURANCE COMPANY OF AMERICA |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/742910903-501
- Cite as: PlanOptica, https://planoptica.com/welfare/742910903-501
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