2023 Form 5500 filing — Maverick Gaming Welfare Benefit 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 20240828090950NAL0011974945001) for Maverick Gaming Welfare Benefit Plan, reported by Maverick Gaming LLC under EIN 83-3358619 and plan number 501. It reports 923 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240828090950NAL0011974945001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Maverick Gaming LLC
- EIN
- 83-3358619
- Plan number
- 501
- Location
- Kirkland, WA
- Participants
- 923
- 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. |
|---|---|---|---|
| Umr, Inc. | CLAIM PROCESSOR | $263,133 | $9,089 |
| Van Noy Counsulting Group | CONSULTING | $35,000 | $0 |
| Usi Insurance Services LLC | BROKER | $17,936 | $0 |
| Delta Dental Of Washington | CLAIM ADMINISTRATOR DENTA | $7,011 | $0 |
| Vision Service Plan | CLAIM ADMINISTRATORVISION | $5,142 | $0 |
| Rx Benefits, Inc. | PHARMACY BENEFIT MANAGER | $3,658 | $0 |