2023 Form 5500 filing — Kitsap Mental Health Services 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 20241014104507NAL0025956689005) for Kitsap Mental Health Services Plan, reported by Kitsap Mental Health Services under EIN 91-1020106 and plan number 502. It reports 488 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014104507NAL0025956689005
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Kitsap Mental Health Services
- EIN
- 91-1020106
- Plan number
- 502
- Location
- Bremerton, WA
- Participants
- 488
- 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)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Premera Blue Cross | ADMINISTRATOR | $274,048 | not reported in the loaded dataset |
| Lockton Companies, LLC | BROKER | $0 | $50,100 |
| Sun Life Assurance Co. Of Canada | ADMINISTRATOR | $19,614 | not reported in the loaded dataset |
| The Harford | ADMINISTRATOR | $16,593 | not reported in the loaded dataset |
| Curalinc Healthcare | ADMINISTRATOR | $13,344 | not reported in the loaded dataset |
| Navia Benefit Solutions | ADMINISTRATOR | $12,406 | not reported in the loaded dataset |
| Esi | ADMINISTRATOR | $0 | $7,206 |