2023 Form 5500 filing — Sbv 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 20241010111409NAL0039844402001) for Sbv Health Plan, reported by Vos Electric, Inc. under EIN 39-1526928 and plan number 501. It reports 326 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241010111409NAL0039844402001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Vos Electric, Inc.
- EIN
- 39-1526928
- Plan number
- 501
- Location
- Green Bay, WI
- Participants
- 326
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $21,714
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $21,714
- Employer contributions
- $4,016,268
- Participant contributions
- $912,000
- Total income / additions
- $4,933,306
- Benefits paid
- $5,390,116
- Administrative expenses
- $104,362
- Total expenses
- $5,494,478
- Net increase / (decrease)
- -$561,172
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Compcare Health Services Insurance | NONE | $78,143 | $153,352 |
| Blue Cross Blue Shield Of Wisconsin | CLAIMS PROCESSING | $201,651 | $0 |
| Aon Risk Services Central, Inc. | BROKER | $1,621 | $72,441 |
| Delta Dental Of Wisconsin | THIRD PARTY ADMINISTRATO | $13,608 | not reported in the loaded dataset |