2023 Form 5500 filing — Montana Health Network Health Insurance Plan & Trust
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 20240409105745NAL0040398370002) for Montana Health Network Health Insurance Plan & Trust, reported by Montana Health Network Inc under EIN 81-0440728 and plan number 501. It reports 2,058 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240409105745NAL0040398370002
- Filing year
- 2023
- Form type
- 3
- Plan sponsor
- Montana Health Network Inc
- EIN
- 81-0440728
- Plan number
- 501
- Location
- Miles City, MT
- Participants
- 2,058
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $18,223,766
- Total liabilities (EOY)
- $5,251,803
- Net assets (EOY)
- $12,971,963
- Employer contributions
- $26,992,553
- Participant contributions
- $95,605
- Total income / additions
- $27,973,603
- Benefits paid
- $26,064,396
- Administrative expenses
- $1,068,143
- Total expenses
- $27,132,539
- Net increase / (decrease)
- $841,064
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Pacificsource Health Plans | NONE | $667,074 | not reported in the loaded dataset |
| Montana Health Network Inc | PLAN SPONSOR | $176,461 | not reported in the loaded dataset |
| Leif Associates, Inc. | NONE | $86,214 | not reported in the loaded dataset |
| Holland & Hart | NONE | $39,218 | not reported in the loaded dataset |
| Eide Bailly Llp | NONE | $38,500 | not reported in the loaded dataset |
| First Interstate Bancsystem | NONE | $38,272 | not reported in the loaded dataset |