2023 Form 5500 filing — Canon Medical Systems Usa, Inc. Self-Funded Short-Term Disability Benefit 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 20241014181614NAL0013729235001) for Canon Medical Systems Usa, Inc. Self-Funded Short-Term Disability Benefit Plan, reported by Canon Medical Systems Usa, Inc. under EIN 68-0178440 and plan number 507. It reports 549 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$2.2MReported net assets$2,242,384
Participants549
Provider compensation$13.1K1 Schedule C row(s)$13,125
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241014181614NAL0013729235001
- Plan sponsor
- Canon Medical Systems Usa, Inc.
- EIN
- 68-0178440
- Plan number
- 507
- Location
- Tustin, CA
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$2.6M total assets
Net assets$2.2MLiabilities$334.9K
Full reported line items
- Total assets (EOY)
- $2,577,246
- Total liabilities (EOY)
- $334,862
- Net assets (EOY)
- $2,242,384
- Participant contributions
- $597,924
- Total income / additions
- $597,924
- Benefits paid
- $618,595
- Administrative expenses
- $13,125
- Total expenses
- $631,720
- Net increase / (decrease)
- -$33,796
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Miller Kaplan Arase Llp | NONE | $13,125 | not reported in the loaded dataset |