Mohawk Gaming Enterprises LLC Health Plan — Form 5500 plan (Mohawk Gaming Enterprises LLC)
Plain-English plan 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, Mohawk Gaming Enterprises LLC Health Plan is a benefit plan reported by Mohawk Gaming Enterprises LLC under EIN 16-1558843 and plan number 501. The latest loaded filing year is 2023. The filing reports 456 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Mohawk Gaming Enterprises LLC
- EIN
- 16-1558843
- Plan number
- 501
- Plan type
- 2
- Location
- Akwesasne, NY
- Latest filing year
- 2023
- Participants
- 456
- End-of-year plan assets
- not reported in the loaded dataset
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 456 | C | 20240702090705NAL0004784049001 |
| 2023 | 594 | C | 20240702090808NAL0004785425001 |
| 2023 | 315 | C | 20240702091418NAL0009861586001 |
Reported financial statement
This plan is loaded, but Schedule H / I financial-statement detail is not present for it in the current loaded dataset.
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Excellus Blue Cross Blue Shield | ADMINISTRATOR | $443,292 | not reported in the loaded dataset | 2023 |
| Excellus Blue Cross Blue Shield | ADMINISTRATOR | $213,849 | not reported in the loaded dataset | 2023 |
| Excellus Blue Cross Blue Shield | CLAIMS ADMINISTRATOR | $161,491 | not reported in the loaded dataset | 2023 |