2023 Form 5500 filing — Jacobsen Construction Company Inc. Employee Welfare 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 20241010152855NAL0021346385001) for Jacobsen Construction Company Inc. Employee Welfare Plan, reported by Jacobsen Construction Company Inc. under EIN 87-0256624 and plan number 501. It reports 679 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).

EFAST2 acknowledgement
20241010152855NAL0021346385001
Filing year
2023
Form type
2
Plan sponsor
Jacobsen Construction Company Inc.
EIN
87-0256624
Plan number
501
Location
Salt Lake City, UT
Participants
679
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)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Optum Rx Inc.PHARMACY BENEFIT MANAGEME$2,269,095$10,363
Umr, Inc.CLAIMS PROCESSING$590,706$2,011
Mercer Health & Benefits LLCBROKER$88,587not reported in the loaded dataset
Fred A Moreton & CompanyBROKER$27,174not reported in the loaded dataset

Related Form 5500 pages