2023 Form 5500 filing — Harrisburg Dairies Inc Group Medical 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 20241021141750NAL0001492721001) for Harrisburg Dairies Inc Group Medical Plan, reported by Harrisburg Dairies, Inc. under EIN 23-1279629 and plan number 502. It reports 70 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241021141750NAL0001492721001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Harrisburg Dairies, Inc.
- EIN
- 23-1279629
- Plan number
- 502
- Location
- Harrisburg, PA
- Participants
- 70
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $19,035
- Total liabilities (EOY)
- $42,484
- Net assets (EOY)
- -$23,449
- Employer contributions
- $545,997
- Participant contributions
- $0
- Total income / additions
- $546,003
- Benefits paid
- $367,513
- Administrative expenses
- $43,666
- Total expenses
- $540,468
- Net increase / (decrease)
- $5,535
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Mcconkey Benefits & Financial Serv | BROKER | $23,438 | not reported in the loaded dataset |
| Mcconkey Benefits & Financial Serv | BROKER | $18,511 | not reported in the loaded dataset |
| Capital Blue Cross | ADMIN | $17,276 | not reported in the loaded dataset |
| Capital Blue Cross | ADMIN | $4,938 | not reported in the loaded dataset |
| Benefitmall | ADMIN | $4,604 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $4,109 | not reported in the loaded dataset |
| Benefitmall | ADMIN | $3,770 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $1,673 | not reported in the loaded dataset |