2023 Form 5500 filing — Wv-Oh Supplemental 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 20241007112846NAL0007524835001) for Wv-Oh Supplemental Health Plan, reported by Wv Supplemental Health Fund under EIN 30-0002072 and plan number 501. It reports 993 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241007112846NAL0007524835001
- Filing year
- 2023
- Form type
- 1
- Plan sponsor
- Wv Supplemental Health Fund
- EIN
- 30-0002072
- Plan number
- 501
- Location
- Ona, WV
- Participants
- 993
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $4,407,207
- Total liabilities (EOY)
- $13,000
- Net assets (EOY)
- $4,394,207
- Employer contributions
- $2,111,015
- Total income / additions
- $2,538,812
- Benefits paid
- $1,911,438
- Administrative expenses
- $60,688
- Total expenses
- $1,972,126
- Net increase / (decrease)
- $566,686
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| American Benefit Corporation | PLAN ADMINISTRATOR | $24,715 | not reported in the loaded dataset |
| Standard Valuations Inc | CONSULTING | $8,000 | not reported in the loaded dataset |
| Kozicki Hughes Tickerhoof Pllc | PLAN AUDITOR | $7,500 | not reported in the loaded dataset |
| John F. Dascoli Pllc | LEGAL | $7,285 | not reported in the loaded dataset |