2023 Form 5500 filing — Nisource Life And Medical Benefits Program
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 20241014174722NAL0028013233001) for Nisource Life And Medical Benefits Program, reported by Nisource Inc. under EIN 35-2108964 and plan number 536. It reports 12,086 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241014174722NAL0028013233001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Nisource Inc.
- EIN
- 35-2108964
- Plan number
- 536
- Location
- Merrillville, IN
- Participants
- 12,086
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $144,714,930
- Total liabilities (EOY)
- $13,426,032
- Net assets (EOY)
- $131,288,898
- Employer contributions
- $97,194,940
- Participant contributions
- $29,300,289
- Total income / additions
- $144,430,913
- Benefits paid
- $133,228,496
- Administrative expenses
- $4,670,750
- Total expenses
- $137,899,246
- Net increase / (decrease)
- $6,531,667
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Anthem Insurance Companies Inc | NONE | $4,271,391 | $0 |
| Beacon Health | NONE | $138,074 | not reported in the loaded dataset |
| Porter Wright Morris And Arthur | NONE | $119,314 | not reported in the loaded dataset |
| Mcconnell & Jones, Llp | NONE | $38,500 | not reported in the loaded dataset |
| Northern Trust Company | NONE | $22,095 | not reported in the loaded dataset |
| Legacy Professionals | NONE | $17,681 | not reported in the loaded dataset |
| Lcg Associates Inc | NONE | $11,570 | not reported in the loaded dataset |
| Deloitte & Touche Llp | NONE | $6,358 | not reported in the loaded dataset |