2023 Form 5500 filing — Goodwill Industries Of San Antonio Contract Services Health And 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 20241012121354NAL0023417633001) for Goodwill Industries Of San Antonio Contract Services Health And Welfare Plan, reported by Goodwill Industries Of San Antonio Contract Services under EIN 46-0688991 and plan number 503. It reports 543 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241012121354NAL0023417633001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Goodwill Industries Of San Antonio Contract Services
- EIN
- 46-0688991
- Plan number
- 503
- Location
- San Antonio, TX
- Participants
- 543
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $782,700
- Total liabilities (EOY)
- $576,801
- Net assets (EOY)
- $205,899
- Employer contributions
- $4,518,756
- Participant contributions
- $504,895
- Total income / additions
- $4,782,245
- Benefits paid
- $4,135,379
- Administrative expenses
- $915,561
- Total expenses
- $5,050,940
- Net increase / (decrease)
- -$268,695
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Bcbstx Health Care Service Corp C | BENEFITS | $4,064,476 | $0 |
| Bcbstx Health Care Service Corp A | BENEFITS | $634,024 | $0 |
| One America | BENEFITS | $201,725 | $0 |
| Gsa National | TPA | $160,147 | $0 |
| Employer Direct Healthcare Surgery | MEDICAL | $146,966 | $0 |
| Vsp Insurance Co. Ct | VISION | $35,687 | $0 |
| Tria Health | TELEHEALTH | $24,340 | $0 |