2023 Form 5500 filing — Citgo Petroleum Corporation Medical, Dental, Vision And Life Insurance Program For Salaried Employees

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 20241015203154NAL0030867073001) for Citgo Petroleum Corporation Medical, Dental, Vision And Life Insurance Program For Salaried Employees, reported by Citgo Petroleum Corporation under EIN 73-1173881 and plan number 515. It reports 2,726 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20241015203154NAL0030867073001
Filing year
2023
Form type
2
Plan sponsor
Citgo Petroleum Corporation
EIN
73-1173881
Plan number
515
Location
Houston, TX
Participants
2,726
Schedules available
Schedule H, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$16,061,753
Total liabilities (EOY)
$4,578,687
Net assets (EOY)
$11,483,066
Employer contributions
$43,333,714
Participant contributions
$8,533,688
Total income / additions
$59,547,487
Benefits paid
$58,525,380
Administrative expenses
$3,429,204
Total expenses
$61,954,584
Net increase / (decrease)
-$2,407,097
Schedule source
Schedule H

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
United Healthcare Services, Inc.NONE$2,851,257not reported in the loaded dataset
Mercer Human Resource ConsultingNONE$242,754not reported in the loaded dataset
Metropolitan Life Insurance CompanyNONE$102,448not reported in the loaded dataset
Kpmg, LlpNONE$92,000not reported in the loaded dataset
Thompson & Reuters (Tax & Acct) IncNONE$20,061not reported in the loaded dataset
Fidelity ConsultingNONE$15,443not reported in the loaded dataset
Medex Insurance Services, Inc.NONE$12,474not reported in the loaded dataset
Innovative Legal SolutionsNONE$11,322not reported in the loaded dataset
C2 ImagingNONE$10,518not reported in the loaded dataset
Questmark Information ManagementNONE$10,456not reported in the loaded dataset
Ernst & Young LlpNONE$5,060not reported in the loaded dataset
Bank Of OklahomaNONE$4,212$0

Related Form 5500 pages