2023 Form 5500 filing — Delongs Inc Employee Health Care 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 20240809131209NAL0006314193001) for Delongs Inc Employee Health Care Plan, reported by Delongs Inc under EIN 44-0528273 and plan number 501. It reports 170 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240809131209NAL0006314193001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Delongs Inc
- EIN
- 44-0528273
- Plan number
- 501
- Location
- Jefferson City, MO
- Participants
- 170
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $343,168
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $343,168
- Employer contributions
- $564,625
- Participant contributions
- $382,739
- Total income / additions
- $997,233
- Benefits paid
- $1,300,899
- Administrative expenses
- $95,046
- Total expenses
- $1,395,945
- Net increase / (decrease)
- -$398,712
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Meritain Health | NONE | $55,276 | not reported in the loaded dataset |
| Usi Insurance Services LLC | NONE | $25,000 | not reported in the loaded dataset |
| Williams-Keepers LLC | NONE | $14,770 | not reported in the loaded dataset |