2023 Form 5500 filing — Holy Cross Electric Association Medical And Dental Benefits 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 20241007144100NAL0026438144001) for Holy Cross Electric Association Medical And Dental Benefits Plan, reported by Holy Cross Electric Association under EIN 84-0229176 and plan number 501. It reports 196 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241007144100NAL0026438144001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Holy Cross Electric Association
- EIN
- 84-0229176
- Plan number
- 501
- Location
- Glenwood Springs, CO
- Participants
- 196
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $5,373,181
- Total liabilities (EOY)
- $1,336,755
- Net assets (EOY)
- $4,036,426
- Employer contributions
- $3,671,455
- Participant contributions
- $662,939
- Total income / additions
- $5,444,453
- Benefits paid
- $5,973,918
- Administrative expenses
- $231,708
- Total expenses
- $6,205,626
- Net increase / (decrease)
- -$761,173
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Hub International Ins. Svces., Inc. | BROKER | $74,870 | not reported in the loaded dataset |
| Benefit Administrative Services | PLAN ADMINISTRATOR | $66,026 | not reported in the loaded dataset |
| Cigna | PPO NETWORK | $37,096 | not reported in the loaded dataset |
| Vision Service Plan | INSURANCE SERVICES | $25,115 | not reported in the loaded dataset |