2023 Form 5500 filing — P E Systems, Inc. Group Medical 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 20250407150043NAL0016424449001) for P E Systems, Inc. Group Medical Plan, reported by P E Systems, Inc. under EIN 54-0891458 and plan number 511. It reports 126 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$0Reported net assets

Participants126

Provider compensation$152.3K4 Schedule C row(s)$152,258

Schedules filedSchedule H, Schedule CLoaded schedules

EFAST2 acknowledgement: 20250407150043NAL0016424449001
Plan sponsor: P E Systems, Inc.
EIN: 54-0891458
Plan number: 511
Location: Fairfax, VA
Received date: not reported in the loaded dataset

Schedule H · 2023

Reported financial snapshot

Reported figures as filed, in whole dollars. Only fields the filing reports are shown.

Reported balance (end of year)$351.3K total assets

Net assets$0Liabilities$351.3K

Money in vs. money out

Total income / additions$2.3M

Total expenses$2.6M

Benefits paid / distributions$2.4M

Contributions

Employer$1.6M

Participant$574.6K

Full reported line items

Total assets (EOY): $351,321
Total liabilities (EOY): $351,321
Net assets (EOY): $0
Employer contributions: $1,606,461
Participant contributions: $574,629
Total income / additions: $2,298,478
Benefits paid: $2,417,232
Administrative expenses: $152,258
Total expenses: $2,569,490
Net increase / (decrease): -$271,012

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
Provider	Service	Direct comp.	Indirect comp.
Carefirst Administrators	ADMIN	$59,408	not reported in the loaded dataset
Brown & Brown Insurance Of Va	BROKER	$57,387	not reported in the loaded dataset
The Benecon Group, LLC	BROKER	$26,956	not reported in the loaded dataset
Connectcare3	PATIENT ADVOCATE	$8,507	not reported in the loaded dataset