2023 Form 5500 filing — Pacific Architects And Engineers, LLC Self-Insured Health And Welfare Plan For Sca Employees
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 20241227133550NAL0023312912001) for Pacific Architects And Engineers, LLC Self-Insured Health And Welfare Plan For Sca Employees, reported by Pacific Architects And Engineers, LLC under EIN 98-0000105 and plan number 503. It reports 7,272 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241227133550NAL0023312912001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Pacific Architects And Engineers, LLC
- EIN
- 98-0000105
- Plan number
- 503
- Location
- Falls Church, VA
- Participants
- 7,272
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $8,990,332
- Total liabilities (EOY)
- $3,443,461
- Net assets (EOY)
- $5,546,871
- Employer contributions
- $25,844,331
- Participant contributions
- $7,159,151
- Total income / additions
- $33,003,482
- Benefits paid
- $30,405,983
- Administrative expenses
- $2,977,975
- Total expenses
- $33,383,958
- Net increase / (decrease)
- -$380,476
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Cigna Health And Life Insurance Co. | CLAIMS ADMINISTRATOR | $2,898,714 | not reported in the loaded dataset |
| Cigna Health And Life Insurance Co. | CLAIMS ADMINISTRATOR | $2,655,284 | $0 |
| Delta Dental Of Virginia | CLAIMS ADMINISTRATOR | $1,884,221 | not reported in the loaded dataset |
| Cigna Health And Life Insurance Co. | CLAIMS ADMINISTRATOR | $1,200,842 | $0 |
| Fce Benefit Administrators, Inc. | SCA ADMINISTRATOR | $837,689 | not reported in the loaded dataset |
| Fce Benefit Administrators, Inc. | SCA ADMINISTRATOR | $576,026 | not reported in the loaded dataset |
| Business Solver.Com Inc. | TPA | $538,884 | not reported in the loaded dataset |
| Business Solver.Com Inc. | TPA | $383,584 | not reported in the loaded dataset |
| Aetna Life Insurance Co. | CLAIMS ADMINISTRATOR | $331,811 | not reported in the loaded dataset |
| Aetna Life Insurance Co. | CLAIMS ADMINISTRATOR | $190,061 | not reported in the loaded dataset |
| Delta Dental Of Virginia | CLAIMS ADMINISTRATOR | $189,468 | not reported in the loaded dataset |
| Delta Dental Of Virginia | CLAIMS ADMINISTRATOR | $185,133 | not reported in the loaded dataset |
| Tms | TRUST MANAGEMENT | $50,161 | not reported in the loaded dataset |
| Tms | TRUST MANAGEMENT | $46,784 | not reported in the loaded dataset |
| Willis Corp. Of Maryland | BROKER | $0 | $21,351 |