2023 Form 5500 filing — Community Action Committee Of The Lehigh Valley, Inc. 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 20240726081848NAL0015681473001) for Community Action Committee Of The Lehigh Valley, Inc. Group Medical Plan, reported by Community Action Committee Of The Lehigh Valley, Inc. under EIN 23-1669589 and plan number 501. It reports 56 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240726081848NAL0015681473001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Community Action Committee Of The Lehigh Valley, Inc.
- EIN
- 23-1669589
- Plan number
- 501
- Location
- Bethlehem, PA
- Participants
- 56
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $76,036
- Total liabilities (EOY)
- $348,584
- Net assets (EOY)
- -$272,548
- Employer contributions
- $1,389,330
- Participant contributions
- $102,270
- Total income / additions
- $1,506,516
- Benefits paid
- $1,126,054
- Administrative expenses
- -$16,000
- Total expenses
- $1,779,064
- Net increase / (decrease)
- -$272,548
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Bsi Corporate Benefits, LLC | BROKER | $54,358 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $26,734 | not reported in the loaded dataset |
| Hy Holdings Inc | ADMIN | $7,695 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $5,766 | not reported in the loaded dataset |