2023 Form 5500 filing — Upson Regional Medical Center Group Healthcare 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 20250409110007NAL0012146051001) for Upson Regional Medical Center Group Healthcare Plan, reported by Upson County Hospital, Inc. Dba Upson Regional Medical Center under EIN 58-1734026 and plan number 501. It reports 464 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).

EFAST2 acknowledgement
20250409110007NAL0012146051001
Filing year
2023
Form type
2
Plan sponsor
Upson County Hospital, Inc. Dba Upson Regional Medical Center
EIN
58-1734026
Plan number
501
Location
Thomaston, GA
Participants
464
Schedules available
Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Luminare Health Benefits, Inc.NONE$236,114not reported in the loaded dataset
Digital Insurance, Inc.NONE$116,320not reported in the loaded dataset
AetnaNONE$78,909not reported in the loaded dataset
Multiplan, Inc.NONE$15,927not reported in the loaded dataset
Change HealthcareNONE$9,832not reported in the loaded dataset

Related Form 5500 pages