2023 Form 5500 filing — Health Benefit Plan For The Employees Of Tire Rama
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 20240702150528NAL0007762976001) for Health Benefit Plan For The Employees Of Tire Rama, reported by The Tire Guys under EIN 81-0368935 and plan number 501. It reports 219 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240702150528NAL0007762976001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- The Tire Guys
- EIN
- 81-0368935
- Plan number
- 501
- Location
- Billings, MT
- Participants
- 219
- 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. |
|---|---|---|---|
| Employee Benefit Mgmt Services | TPA | $72,068 | $0 |
| First Choice | PPO | $13,897 | not reported in the loaded dataset |
| Smith Rx | RX ADMIN | $7,774 | not reported in the loaded dataset |
| Employee Benefit Mgmt Services | CASE MANAGEMENT | $6,393 | not reported in the loaded dataset |
| Employee Benefit Mgmt Services | UTILIZATION REVIEW | $6,197 | not reported in the loaded dataset |