2023 Form 5500 filing — Phoenix Laser Solutions, 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 20241030123043NAL0000593185001) for Phoenix Laser Solutions, LLC Group Medical Plan, reported by Phoenix Laser Solutions LLC under EIN 20-0903833 and plan number 501. It reports 102 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241030123043NAL0000593185001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Phoenix Laser Solutions LLC
- EIN
- 20-0903833
- Plan number
- 501
- Location
- Meadville, PA
- Participants
- 102
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $64,085
- Total liabilities (EOY)
- $82,460
- Net assets (EOY)
- -$18,375
- Employer contributions
- $303,268
- Participant contributions
- $547,435
- Total income / additions
- $851,970
- Benefits paid
- $467,597
- Administrative expenses
- -$20,133
- Total expenses
- $759,469
- Net increase / (decrease)
- $92,501
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| The Benecon Group | BROKER | $24,366 | not reported in the loaded dataset |
| The Djb Group | BROKER | $24,220 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $6,612 | not reported in the loaded dataset |
| Upmc Benefit Management Services | ADMIN | $2,040 | not reported in the loaded dataset |