2023 Form 5500 filing — Steve Shannon Tire Company, 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 20241010140054NAL0035952544001) for Steve Shannon Tire Company, Inc. Health Plan, reported by Steve Shannon Tire Company, Inc. under EIN 23-2549609 and plan number 501. It reports 179 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241010140054NAL0035952544001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Steve Shannon Tire Company, Inc.
- EIN
- 23-2549609
- Plan number
- 501
- Location
- Bloomsburg, PA
- Participants
- 179
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $261,203
- Total liabilities (EOY)
- $166,291
- Net assets (EOY)
- $94,912
- Employer contributions
- $1,546,175
- Participant contributions
- $559,580
- Total income / additions
- $2,113,389
- Benefits paid
- $1,747,139
- Administrative expenses
- $748,249
- Total expenses
- $2,495,388
- Net increase / (decrease)
- -$381,999
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Bsi Corporate Benefits, LLC | BROKER | $113,043 | not reported in the loaded dataset |
| The Benecon Group LLC | BROKER | $36,442 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $12,237 | not reported in the loaded dataset |
| Hy Holding | ADMIN | $10,269 | not reported in the loaded dataset |
| Innovu | BROKER | $9,890 | not reported in the loaded dataset |
| Highmark Blue Shield (Central) | ADMIN | $5,838 | not reported in the loaded dataset |