2023 Form 5500 filing — Creative Surfaces, Inc. Group Health Benefits 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 20240725103455NAL0014304337001) for Creative Surfaces, Inc. Group Health Benefits Plan, reported by Creative Surfaces, Inc. under EIN 36-3612708 and plan number 501. It reports 141 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240725103455NAL0014304337001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Creative Surfaces, Inc.
- EIN
- 36-3612708
- Plan number
- 501
- Location
- Sioux Falls, SD
- Participants
- 141
- 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. |
|---|---|---|---|
| Optum Rx Inc | PHARMACY BENEFIT MGMT | $119,426 | $436 |
| Umr, Inc. | CLAIM PROCESSING | $64,702 | $149 |
| Holmes Murphy & Associates Inc | BROKER | $29,260 | not reported in the loaded dataset |
| Holmes Murphy & Associates Inc | CLAIM PROCESSING | $141 | not reported in the loaded dataset |
| C2 Centric LLC | CLAIM PROCESSING | $5 | not reported in the loaded dataset |