Keystone Peer Review Organization, Inc. Health & Welfare Plan For Sca Employees — Form 5500 plan (Keystone Peer Review Organization, Inc.)

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, Keystone Peer Review Organization, Inc. Health & Welfare Plan For Sca Employees is a benefit plan reported by Keystone Peer Review Organization, Inc. under EIN 23-2348176 and plan number 502. The latest loaded filing year is 2023. The filing reports 237 participants and $584,511 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$189.9KPlan net assets, end of year$189,921
Participants237Covered participants reported
Assets / participant$2.5KComputed: assets ÷ participants$2,466 (computed)
Provider compensation$484.8K3 Schedule C provider row(s)$484,849
Plan sponsor
Keystone Peer Review Organization, Inc.
EIN
23-2348176
Plan number
502
Plan type
2
Location
Harrisburg, PA
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023237H, C20241015105950NAL0014445171001
Schedule H · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Reported balance (end of year)$584.5K total assets
Net assets$189.9KLiabilities$394.6K
Money in vs. money out
Total income / additions$3.3M
Total expenses$2.8M
Benefits paid / distributions$2.1M
Contributions
Employer$2.6M
Participant$631.2K
Full reported line items

Net assets

Total assets (EOY)
$584,511
Total liabilities (EOY)
$394,590
Net assets (EOY)
$189,921
Net assets (BOY)
-$285,686

Income & contributions

Employer contributions
$2,646,657
Participant contributions
$631,224
Total contributions
$3,277,881
Total income / additions
$3,277,881

Expenses & distributions

Benefits paid
$2,114,503
Administrative expenses
$687,771
Total expenses
$2,802,274
Net increase / (decrease)
$475,607
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Contribution share (employer vs. participant)
Employer 81%Participant 19%
Total expenses ÷ net assets1475%Computed ratio
Benefits paid ÷ total income65%Computed ratio
Provider comp. ÷ net assets255%Computed ratio

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Aetna Life Insurance CompanyCONTRACT ADMINISTRATOR$483,721$02023
Lincoln National Life Insurance ComNONE$578$02023
Lincoln National Life Insurance ComNONE$550$02023

Related Form 5500 pages