2023 Form 5500 filing — Jet Specialty Inc Health Benefits 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 20260521132643NAL0002632163001) for Jet Specialty Inc Health Benefits Plan, reported by Jet Specialty under EIN 75-2408914 and plan number 501. It reports 338 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20260521132643NAL0002632163001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Jet Specialty
- EIN
- 75-2408914
- Plan number
- 501
- Location
- Boerne, TX
- Participants
- 338
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Employer contributions
- $2,715,009
- Participant contributions
- $979,672
- Total income / additions
- $5,383,758
- Benefits paid
- $5,046,306
- Administrative expenses
- $337,452
- Total expenses
- $5,383,758
- Net increase / (decrease)
- $0
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Insurance Management Services | THIRD PARTY ADMINISTRATOR | $189,386 | not reported in the loaded dataset |
| Insurance Management Services | THIRD PARTY ADMINISTRATOR | $167,463 | not reported in the loaded dataset |
| Intuitive Solutions | INSURANCE AGENET | $86,488 | not reported in the loaded dataset |
| Intuitive Solutions | INSURANCE AGENT | $70,040 | not reported in the loaded dataset |
| American Health Holding, Inc. | RX MANAGEMENT | $18,926 | not reported in the loaded dataset |
| Pcm Rx Management | RX MANAGEMENT | $9,153 | not reported in the loaded dataset |