Plan5500

2023 Form 5500 filing — Sandridge-Pa LLC 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 20241022142823NAL0002734161001) for Sandridge-Pa LLC Group Medical Plan, reported by Sandridge-Pa LLC under EIN 23-1954103 and plan number 503. It reports 45 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20241022142823NAL0002734161001
Filing year
2023
Form type
2
Plan sponsor
Sandridge-Pa LLC
EIN
23-1954103
Plan number
503
Location
Medina, OH
Participants
45
Schedules available
Schedule I, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$212,841
Total liabilities (EOY)
$0
Net assets (EOY)
$212,841
Employer contributions
$1,240,096
Participant contributions
$103,149
Total income / additions
$1,343,285
Benefits paid
$759,222
Administrative expenses
$81,075
Total expenses
$1,170,970
Net increase / (decrease)
$172,315
Schedule source
Schedule I

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
HighmarkADMIN$38,480not reported in the loaded dataset
Mcconkey Benefits & Financial ServBROKER$29,876not reported in the loaded dataset
Mcconkey Benefits & Financial ServiBROKER$17,503not reported in the loaded dataset
HighmarkADMIN$15,403not reported in the loaded dataset
The Benecon GroupBROKER$6,634not reported in the loaded dataset
BenefitmallADMIN$6,085not reported in the loaded dataset
Benefitmall TpaADMIN$3,437not reported in the loaded dataset
The Benecon Group LLCBROKER$1,247not reported in the loaded dataset

Related Form 5500 pages