2023 Form 5500 filing — Kci Holding Usa, Inc. Employee Health Care 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 20241015163014NAL0030346849013) for Kci Holding Usa, Inc. Employee Health Care Plan, reported by Kci Holding Usa, Inc. under EIN 76-0432472 and plan number 501. It reports 2,085 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20241015163014NAL0030346849013
Filing year
2023
Form type
2
Plan sponsor
Kci Holding Usa, Inc.
EIN
76-0432472
Plan number
501
Location
Springfield, OH
Participants
2,085
Schedules available
Schedule H, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$8,528,950
Net assets (EOY)
$8,528,950
Employer contributions
$34,591,962
Participant contributions
$2,942,929
Total income / additions
$37,594,827
Benefits paid
$33,656,121
Administrative expenses
$2,494,286
Total expenses
$36,150,407
Net increase / (decrease)
$1,444,420
Schedule source
Schedule H

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Allegiance Benefit Plan Mgmt, Inc.BENEFIT ADMINISTRATOR$539,438$4,396
Cvs HealthPRESCRIPTION ADMIN$155,133not reported in the loaded dataset
Delta Dental Of OhioBENEFIT ADMINISTRATOR$76,649not reported in the loaded dataset
Allegiance Cobra Services, Inc.BENEFIT ADMINISTRATOR$33,027not reported in the loaded dataset
Lincoln National Life Insurance CoBENEFIT ADMINISTRATOR$12,483not reported in the loaded dataset
Allegiance Care Management, Inc.BENEFIT ADMINISTRATOR$733not reported in the loaded dataset

Related Form 5500 pages