2023 Form 5500 filing — Smilebuilderz, LLC. Group Medical Plan (502)
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 20241223114045NAL0014339536001) for Smilebuilderz, LLC. Group Medical Plan (502), reported by Smilebuilderz, LLC. under EIN 20-3167069 and plan number 502. It reports 94 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241223114045NAL0014339536001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Smilebuilderz, LLC.
- EIN
- 20-3167069
- Plan number
- 502
- Location
- Lancaster, PA
- Participants
- 94
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $21,468
- Total liabilities (EOY)
- $95,817
- Net assets (EOY)
- -$74,349
- Employer contributions
- $772,290
- Participant contributions
- $340,785
- Total income / additions
- $1,114,975
- Benefits paid
- $689,937
- Administrative expenses
- $24,002
- Total expenses
- $1,074,660
- Net increase / (decrease)
- $40,315
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| The Benecon Group, LLC | BROKER | $42,022 | not reported in the loaded dataset |
| Assured Partners (Central Pa) | BROKER | $40,821 | not reported in the loaded dataset |
| Highmark Blue Shield (Central) | ADMIN | $24,002 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $6,631 | not reported in the loaded dataset |