2023 Form 5500 filing — Polynt Composites Usa, Inc. Health And Welfare 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 20240725161506NAL0014882113001) for Polynt Composites Usa, Inc. Health And Welfare Plan, reported by Polynt Composites Usa, Inc. under EIN 99-0365117 and plan number 501. It reports 769 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240725161506NAL0014882113001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Polynt Composites Usa, Inc.
- EIN
- 99-0365117
- Plan number
- 501
- Location
- Carpentersville, IL
- Participants
- 769
- 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. |
|---|---|---|---|
| Bluecross Blueshield Of Illinois | MEDICAL ADMINISTRATOR | $387,942 | not reported in the loaded dataset |
| Cigna Health And Life Insurance Co. | DENTAL ADMINISTRATOR | $43,342 | $0 |
| Rxbenefits, Inc. | RX ADMINISTRATOR | $13,669 | not reported in the loaded dataset |