2023 Form 5500 filing — Round Room Holdings, Inc. Health 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 20241004113006NAL0005655699001) for Round Room Holdings, Inc. Health Plan, reported by Round Room Holdings, Inc. under EIN 47-4670699 and plan number 501. It reports 1,174 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241004113006NAL0005655699001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Round Room Holdings, Inc.
- EIN
- 47-4670699
- Plan number
- 501
- Location
- Fishers, IN
- Participants
- 1,174
- 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. |
|---|---|---|---|
| Anthem Insurance Companies, Inc. | TPA | $1,367,319 | not reported in the loaded dataset |
| Delta Dental Of Indiana | BENEFIT ADMINISTRATOR | $44,074 | not reported in the loaded dataset |
| Cvs Caremark | PHARMACY BENEFITS MANAGER | $7,745 | not reported in the loaded dataset |