2023 Form 5500 filing — Komatsu Mining Corp Welfare Benefits 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 20241015195507NAL0029542433002) for Komatsu Mining Corp Welfare Benefits Plan, reported by Komatsu Mining Corp. under EIN 39-1566457 and plan number 508. It reports 10,135 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015195507NAL0029542433002
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Komatsu Mining Corp.
- EIN
- 39-1566457
- Plan number
- 508
- Location
- Milwaukee, WI
- Participants
- 10,135
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $1,094,069
- Total liabilities (EOY)
- $7,028,037
- Net assets (EOY)
- -$5,933,968
- Employer contributions
- $52,649,450
- Participant contributions
- $14,381,227
- Total income / additions
- $72,506,296
- Benefits paid
- $69,272,375
- Administrative expenses
- $3,594,663
- Total expenses
- $72,867,038
- Net increase / (decrease)
- -$360,742
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Blue Cross Blue Shield Of Illinois | CLAIMS PROCESSOR | $1,023,920 | not reported in the loaded dataset |
| Umr, Inc. | CLAIMS PROCESSING | $782,225 | $5,871 |
| Aetna Life Insurance Co | CONTRACT ADMINISTRATOR | $597,832 | not reported in the loaded dataset |
| Prudential Insurance Company Of Ame | NONE | $360,698 | not reported in the loaded dataset |
| Delta Dental Of Wisconsin | THIRD PARTY ADMINISTRATOR | $97,981 | not reported in the loaded dataset |
| Compsych | NONE | $64,873 | not reported in the loaded dataset |