2023 Form 5500 filing — Bucks-Mont Eye Associates, Pc Group Health 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 20240605073619NAL0020430737001) for Bucks-Mont Eye Associates, Pc Group Health Plan, reported by Bucks-Mont Eye Associates, Pc under EIN 23-3071575 and plan number 501. It reports 25 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240605073619NAL0020430737001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Bucks-Mont Eye Associates, Pc
- EIN
- 23-3071575
- Plan number
- 501
- Location
- Sellersville, PA
- Participants
- 25
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $33,292
- Total liabilities (EOY)
- $26,258
- Net assets (EOY)
- $7,034
- Employer contributions
- $338,893
- Participant contributions
- $44,947
- Total income / additions
- $384,394
- Benefits paid
- $218,318
- Administrative expenses
- $11,717
- Total expenses
- $367,274
- Net increase / (decrease)
- $17,120
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Meritain Health, An Aetna Company | ADMIN | $11,717 | not reported in the loaded dataset |
| Tycor Benefit Adminstrators, Inc | BROKER | $10,605 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $7,275 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $1,591 | not reported in the loaded dataset |