2023 Form 5500 filing — Group Insurance Plan For Employees Of Jackson Electric Membership Corporation
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 20240604155148NAL0009492915001) for Group Insurance Plan For Employees Of Jackson Electric Membership Corporation, reported by Jackson Electric Membership Corp under EIN 58-0301471 and plan number 511. It reports 819 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240604155148NAL0009492915001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Jackson Electric Membership Corp
- EIN
- 58-0301471
- Plan number
- 511
- Location
- Jefferson, GA
- Participants
- 819
- Schedules available
- Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Cigna Health And Life Insurance Co | CLAIMS ADMIN | $575,317 | $0 |
| Relation Insurance Inc | BROKER | $107,721 | not reported in the loaded dataset |