Plan5500

2023 Form 5500 filing — L. H. Brubaker Appliances, Inc. Group Medical Plan

Plain-English filing summary

According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240322125336NAL0003624755001) for L. H. Brubaker Appliances, Inc. Group Medical Plan, reported by L. H. Brubaker Appliances, Inc. under EIN 23-1886853 and plan number 502. It reports 31 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20240322125336NAL0003624755001
Filing year
2023
Form type
2
Plan sponsor
L. H. Brubaker Appliances, Inc.
EIN
23-1886853
Plan number
502
Location
Lancaster, PA
Participants
31
Schedules available
Schedule I, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$83
Total liabilities (EOY)
$18,595
Net assets (EOY)
-$18,512
Employer contributions
$156,882
Participant contributions
$89,617
Total income / additions
$247,650
Benefits paid
$157,275
Administrative expenses
$2,820
Total expenses
$286,478
Net increase / (decrease)
-$38,828
Schedule source
Schedule I

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Creative Benefits, Inc.BROKER$9,950not reported in the loaded dataset
The Benecon Group LLCBROKER$9,950not reported in the loaded dataset
Capital BluecrossADMIN$2,820not reported in the loaded dataset
Connectcare3PATIENT ADVOCATE$2,174not reported in the loaded dataset
Creative Benefits, Inc.BROKER$875not reported in the loaded dataset
The Benecon Group LLCBROKER$849not reported in the loaded dataset
Connectcare3PATIENT ADVOCATE$186not reported in the loaded dataset
Capital BluecrossADMIN$0not reported in the loaded dataset

Related Form 5500 pages