2023 Form 5500 filing — Blockhouse Company, 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 20240613083727NAL0062196242001) for Blockhouse Company, Inc. Group Medical Plan, reported by Blockhouse Company, Inc. under EIN 23-2105251 and plan number 501. It reports 41 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240613083727NAL0062196242001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Blockhouse Company, Inc.
- EIN
- 23-2105251
- Plan number
- 501
- Location
- York, PA
- Participants
- 41
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $318,538
- Total liabilities (EOY)
- $27,066
- Net assets (EOY)
- $291,472
- Employer contributions
- $477,209
- Participant contributions
- $147,386
- Total income / additions
- $630,931
- Benefits paid
- $334,997
- Administrative expenses
- $7,650
- Total expenses
- $723,429
- Net increase / (decrease)
- -$92,498
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Tompkins Insurance Agencies, Inc. | BROKER | $13,230 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $12,054 | not reported in the loaded dataset |
| Highmark Blue Shield (Central) | ADMIN | $7,650 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $2,573 | not reported in the loaded dataset |