2023 Form 5500 filing — Penn Residential Incorporated 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 20240722142334NAL0006460483001) for Penn Residential Incorporated Group Medical Plan, reported by Penn Residential Incorporated under EIN 80-0722070 and plan number 502. It reports 74 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240722142334NAL0006460483001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Penn Residential Incorporated
- EIN
- 80-0722070
- Plan number
- 502
- Location
- New Stanton, PA
- Participants
- 74
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $29,910
- Total liabilities (EOY)
- $55,098
- Net assets (EOY)
- -$25,188
- Employer contributions
- $478,697
- Participant contributions
- $20
- Total income / additions
- $479,130
- Benefits paid
- $261,196
- Administrative expenses
- $31,935
- Total expenses
- $504,318
- Net increase / (decrease)
- -$25,188
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Highmark West | ADMIN | $31,935 | not reported in the loaded dataset |
| First Commonwealth Insurance Agency | BROKER | $23,580 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $15,287 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $4,313 | not reported in the loaded dataset |