2023 Form 5500 filing — Acuity Group Health And Welfare 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 20241216103519NAL0002095888001) for Acuity Group Health And Welfare Plan, reported by Acuity, A Mutual Insurance Company under EIN 39-0491540 and plan number 502. It reports 1,554 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241216103519NAL0002095888001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Acuity, A Mutual Insurance Company
- EIN
- 39-0491540
- Plan number
- 502
- Location
- Sheboygan, WI
- Participants
- 1,554
- Schedules available
- Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| United Healthcare Services, Inc. | CLAIMS PROCESSOR | $1,114,594 | $0 |
| Delta Dental Of Wisconsin | THIRD PARTY ADMINISTRATOR | $47,575 | $0 |
| Delta Dental Of Wisconsin | THIRD PARTY ADMINISTRATOR | $3,428 | $0 |