2023 Form 5500 filing — Collom & Carney Clinic Association Health 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 20240905170200NAL0039180976001) for Collom & Carney Clinic Association Health Insurance Plan, reported by Collom & Carney Clinic Association under EIN 75-1151440 and plan number 502. It reports 446 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240905170200NAL0039180976001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Collom & Carney Clinic Association
- EIN
- 75-1151440
- Plan number
- 502
- Location
- Texarkana, TX
- Participants
- 446
- 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. |
|---|---|---|---|
| Usable/Blue Advantage | CONTRACT ADMIN | $201,943 | not reported in the loaded dataset |
| Group Service | CONTRACT ADMIN | $160,222 | not reported in the loaded dataset |
| Ceridian | CONTRACT ADMIN | $6,364 | not reported in the loaded dataset |