2023 Form 5500 filing — Kansas Independent College Foundation Pooled Employee Health 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 20241212155508NAL0012719265001) for Kansas Independent College Foundation Pooled Employee Health Plan, reported by Kansas Independent College Foundation under EIN 48-0636041 and plan number 501. It reports 1,265 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241212155508NAL0012719265001
- Filing year
- 2023
- Form type
- 3
- Plan sponsor
- Kansas Independent College Foundation
- EIN
- 48-0636041
- Plan number
- 501
- Location
- Topeka, KS
- Participants
- 1,265
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $1,857,421
- Total liabilities (EOY)
- $1,198,338
- Net assets (EOY)
- $659,083
- Employer contributions
- $10,286,915
- Participant contributions
- $4,075,029
- Total income / additions
- $14,376,410
- Benefits paid
- $13,109,591
- Administrative expenses
- $924,105
- Total expenses
- $14,033,696
- Net increase / (decrease)
- $342,714
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Blue Cross Blue Shield Of Kansas | NONE | $1,306,169 | $0 |
| Tria Health, LLC | NONE | $37,016 | not reported in the loaded dataset |
| Lefevre Law Pc | NONE | $5,659 | not reported in the loaded dataset |