2023 Form 5500 filing — Lvaic Group 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 20250212152459NAL0037097568001) for Lvaic Group Health Plan, reported by Lehigh Valley Association Of Independent Colleges under EIN 23-7077479 and plan number 501. It reports 1,339 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250212152459NAL0037097568001
- Filing year
- 2023
- Form type
- 3
- Plan sponsor
- Lehigh Valley Association Of Independent Colleges
- EIN
- 23-7077479
- Plan number
- 501
- Location
- Bethlehem, PA
- Participants
- 1,339
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $8,081,279
- Total liabilities (EOY)
- $3,217,835
- Net assets (EOY)
- $4,863,444
- Employer contributions
- $17,287,902
- Participant contributions
- $3,649,846
- Total income / additions
- $21,213,224
- Benefits paid
- $20,811,772
- Administrative expenses
- $682,045
- Total expenses
- $21,493,817
- Net increase / (decrease)
- -$280,593
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Capital Advantage Assurance Company | CONTRACT ADMINISTRATOR | $387,565 | not reported in the loaded dataset |
| Usi Insurance Services | CONSULTANT | $170,000 | not reported in the loaded dataset |
| Magellan Rx Management, LLC | PHARMACY BENEFIT MANAGEME | $40,677 | not reported in the loaded dataset |
| Travels Insurance | NONE | $14,985 | not reported in the loaded dataset |
| Baker Tilly Us, Llp | AUDITOR | $12,344 | not reported in the loaded dataset |