2023 Form 5500 filing — Uniquesource Products & Services Group Health Plan (501)
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 20241014123040NAL0027273041001) for Uniquesource Products & Services Group Health Plan (501), reported by Uniquesource Products & Services under EIN 23-1523064 and plan number 501. It reports 46 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014123040NAL0027273041001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Uniquesource Products & Services
- EIN
- 23-1523064
- Plan number
- 501
- Location
- Mechanicsburg, PA
- Participants
- 46
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $2,972
- Total liabilities (EOY)
- $71,082
- Net assets (EOY)
- -$68,110
- Employer contributions
- $824,577
- Participant contributions
- $0
- Total income / additions
- $849,449
- Benefits paid
- $551,378
- Administrative expenses
- $2,994
- Total expenses
- $870,612
- Net increase / (decrease)
- -$21,163
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| E.K. Mcconkey & Co., Inc. | BROKER | $14,970 | not reported in the loaded dataset |
| The Benecon Group, LLC | BROKER | $12,221 | not reported in the loaded dataset |
| Capital Bluecross | ADMIN | $2,995 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $2,675 | not reported in the loaded dataset |