2023 Form 5500 filing — Hospital Employee Benefit Association Employees' Long Term Disability Group Insurance Arrangement
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 20251105114842NAL0013510256002) for Hospital Employee Benefit Association Employees' Long Term Disability Group Insurance Arrangement, reported by Hospital Employee Benefit Association under EIN 35-1394215 and plan number 502. It reports 9,620 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20251105114842NAL0013510256002
- Filing year
- 2023
- Form type
- 4
- Plan sponsor
- Hospital Employee Benefit Association
- EIN
- 35-1394215
- Plan number
- 502
- Location
- Carmel, IN
- Participants
- 9,620
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $4,481,466
- Total liabilities (EOY)
- $46,637
- Net assets (EOY)
- $4,434,829
- Employer contributions
- $1,885,288
- Total income / additions
- $2,395,405
- Benefits paid
- $2,370,666
- Administrative expenses
- $430,311
- Total expenses
- $2,800,977
- Net increase / (decrease)
- -$405,572
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Gbs Administrators, Inc. | INDEPENDENT CONTRACTOR | $290,969 | not reported in the loaded dataset |
| Internal Revenue Service | NONE | $52,788 | not reported in the loaded dataset |
| Cbiz Cpas P.C. | NONE | $47,020 | not reported in the loaded dataset |
| National Bank Of Indianapolis | NONE | $28,690 | not reported in the loaded dataset |
| Heba, LLC | NONE | $10,844 | not reported in the loaded dataset |