2023 Form 5500 filing — North Bay Builders Exchanges, Inc. 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 20250106171509NAL0016782034001) for North Bay Builders Exchanges, Inc. Health And Welfare Plan, reported by North Bay Builders Exchanges, Inc. under EIN 45-4745482 and plan number 501. It reports 192 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250106171509NAL0016782034001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- North Bay Builders Exchanges, Inc.
- EIN
- 45-4745482
- Plan number
- 501
- Location
- San Rafael, CA
- Participants
- 192
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $2,692,628
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $2,692,628
- Employer contributions
- $7,604,435
- Total income / additions
- $7,604,435
- Benefits paid
- $7,568,273
- Administrative expenses
- $545,334
- Total expenses
- $8,113,607
- Net increase / (decrease)
- -$509,172
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc. | ADMINISTRATOR | $5,195,399 | $0 |
| Anthem Blue Cross | CONTRACT ADMINISTRATOR | $1,998,438 | $0 |
| Choice Administrators Inc | ADMINISTRATOR | $353,035 | $0 |
| American River Benefit Admin | ADMINISTRATOR | $158,433 | $0 |
| North Coast Builders Exchange | PARTY-IN-INTEREST | $150,277 | $0 |
| Marin Builders Association | PARTY-IN-INTEREST | $116,221 | $0 |
| B.E.A.M.S, Inc. | PARTY-IN-INTEREST | $31,731 | $0 |
| Blue Cross Of California | CONTRACT ADMINISTRATOR | $26,510 | $0 |
| Keith Woods Professional Services | NONE | $23,950 | $0 |
| Cliftonlarsonallen, Llp | PARTY-IN-INTEREST | $23,520 | $0 |
| Bay Area Builders Exchange | PARTY-IN-INTEREST | $21,799 | $0 |
| Vision Service Plan - Ca | ADMINISTRATOR | $21,400 | $0 |
| Anthem Blue Cross Life & Health Ins | CONTRACT ADMINISTRATOR | $0 | $17,856 |
| Anthem Blue Cross Life & Health Ins | CONTRACT ADMINISTRATOR | $13,831 | $0 |
| Moss Adams | AUDITORS | $10,000 | $0 |
| Segal Select Insurance Services, In | PARTY-IN-INTEREST | $6,551 | $0 |
| Anthem Blue Cross Life & Health Ins | CONTRACT ADMINISTRATOR | $0 | $3,789 |