BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Black Mountain Management LLC

Mining, oil & gas · Fort Worth, Texas · EIN ending 1379

Updated Filing received by DOL

Black Mountain Management LLC, a mining, oil & gas employer in Fort Worth, Texas, reported 390 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows $2.0M in insurance premiums across 3 contracts and $189,678 in broker commissions and fees, 6.8% of medical premium against a national median of 3.8% among plans that paid commissions in plan year 2024. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on August 4, 2025, within the extension window.

Participants
390
+22.6% vs 2023
Premiums filed
$2.0M
+1.2% vs 2023
Broker commissions + fees
$189,678
+3.0% vs 2023
Commission rate
6.8%
of medical premium · median 3.8%

Who was paid on Black Mountain Management LLC's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Black Mountain Management LLC filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Marsh McLennan Agency · Conshohocken, PA$110,264$947$111,2113
Lockton · Dallas, TX$77,236$1,231$78,4674

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Cigna Health and Life Insurance Company and Affiliateshealth, dental, vision, prescription drug, indemnity509$2.0M$133,4026.8%
The Guardian Life Insurance Company of Americalife, short-term disability, long-term disability338—$47,462—
Cigna Health and Life Insurance Companycoverage not coded338—$8,814—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Black Mountain Management LLC compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Black Mountain Management LLC
$189,678
Commission rate, % of medical premium
Black Mountain Management LLC
6.8%

Premium per covered person on medical contracts: $3,850 a year (national median $7,274).

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$1.9M$2.0MPremiums$184,166$189,678Broker pay20232024
Black Mountain Management LLC: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants318390+22.6%
Premiums filed$1,936,047$1,959,417+1.2%
Broker commissions + fees$184,166$189,678+3.0%
Commission rate7.0%6.8%−0.2 pts

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Black Mountain Management, LLC Welfare Benefit Plan#501 · insurance, general assetsDecember 31, 2024August 4, 2025within extension390

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Black Mountain Management LLC pay in health insurance broker commissions in 2024?

Black Mountain Management LLC's 2024 Form 5500 reports $189,678 in broker commissions and fees across 3 insurance contracts ($187,500 in commissions, $2,178 in fees), with Marsh McLennan Agency receiving the largest share.

Is Black Mountain Management LLC's health plan self-funded or fully insured?

The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Cigna Health and Life Insurance Company and Affiliates.

How does Black Mountain Management LLC's broker compensation compare with similar employers?

Black Mountain Management LLC paid 6.8% of medical premium in commissions and fees. The median for employers with 200-499 participants is 3.6%, and the median in Texas is 5.6%. Percentages are computed only on fully insured medical contracts with filed premiums.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.