2023 Form 5500 filing — Ozarks Coca-Cola/Dr Pepper Bottling Company Group 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 20241014163007NAL0045309936002) for Ozarks Coca-Cola/Dr Pepper Bottling Company Group Health Plan, reported by Ozarks Coca-Cola/Dr Pepper Bottling Company under EIN 44-0443840 and plan number 501. It reports 687 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014163007NAL0045309936002
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Ozarks Coca-Cola/Dr Pepper Bottling Company
- EIN
- 44-0443840
- Plan number
- 501
- Location
- Springfield, MO
- Participants
- 687
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $7,176,486
- Net assets (EOY)
- $7,176,486
- Employer contributions
- $8,201,538
- Participant contributions
- $1,124,249
- Total income / additions
- $10,632,461
- Benefits paid
- $10,899,278
- Administrative expenses
- $582,440
- Total expenses
- $11,481,718
- Net increase / (decrease)
- -$849,257
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Med-Pay, Inc. | CONTRACT ADMINISTRATOR | $159,228 | $68,936 |
| Valenz Claim | PPO WRAP NETWORK ACCESS | $69,025 | not reported in the loaded dataset |
| Ucs Holdings Inc. | PPO WRAP NETWORK ACCESS | $62,473 | not reported in the loaded dataset |
| National Bill Audit Services LLC | BILL REVIEW AUDIT FEES | $43,081 | not reported in the loaded dataset |
| Zelis Claims Integrity Inc | PPO WRAP NETWORK ACCESS | $30,561 | not reported in the loaded dataset |
| Premier Healthcare Exchange | PPO WRAP NETWORK ACCESS | $9,978 | not reported in the loaded dataset |
| Arkansas Managed Care Organization | PPO NETWORK ACCESS FEES | $9,977 | not reported in the loaded dataset |
| Warrior Cost Management LLC | PPO WRAP NETWORK ACCESS | $9,024 | not reported in the loaded dataset |
| Leaf Health | PERSCRIPTION ADMIN MKTG | $0 | $7,639 |