2023 Form 5500 filing — Montgomery County Mh-Mr Emergency Service 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 20240625092113NAL0014901250001) for Montgomery County Mh-Mr Emergency Service Group Medical Plan, reported by Montgomery County Emergency Services, Inc. under EIN 23-1894907 and plan number 503. It reports 84 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240625092113NAL0014901250001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Montgomery County Emergency Services, Inc.
- EIN
- 23-1894907
- Plan number
- 503
- Location
- Norristown, PA
- Participants
- 84
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $80,676
- Total liabilities (EOY)
- $329,896
- Net assets (EOY)
- -$249,220
- Employer contributions
- $1,120,013
- Participant contributions
- $265,541
- Total income / additions
- $1,395,096
- Benefits paid
- $822,695
- Administrative expenses
- $25,792
- Total expenses
- $1,375,409
- Net increase / (decrease)
- $19,687
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Univest Insurance | BROKER | $54,230 | not reported in the loaded dataset |
| Independant Administrators | CARRIER | $25,792 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $18,711 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $5,287 | not reported in the loaded dataset |