2023 Form 5500 filing — Gray Television Inc Group Insurance 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 20240823123652NAL0006348625001) for Gray Television Inc Group Insurance Plan, reported by Gray Television, Inc. under EIN 58-0285030 and plan number 501. It reports 8,616 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240823123652NAL0006348625001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Gray Television, Inc.
- EIN
- 58-0285030
- Plan number
- 501
- Location
- Atlanta, GA
- Participants
- 8,616
- 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. |
|---|---|---|---|
| Optumrx, Inc. | PHARMACY BENEFIT MGMT | $221,743,869 | $44,531 |
| Bcbs Healthcare Plan Of Georgia | CONTRACT ADMINISTRATOR | $3,613,288 | not reported in the loaded dataset |
| Lincoln National Life Insurance Co | CONTRACT ADMINISTRATOR | $99,897 | not reported in the loaded dataset |