Blair Senior Services, Inc. Group Medical Plan — Form 5500 plan (Blair Senior Services, 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, Blair Senior Services, Inc. Group Medical Plan is a benefit plan reported by Blair Senior Services, Inc. under EIN 25-1259406 and plan number 502. The latest loaded filing year is 2023. The filing reports 89 participants and $38,294 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Blair Senior Services, Inc.
EIN
25-1259406
Plan number
502
Plan type
2
Location
Altoona, PA
Latest filing year
2023
Participants
89
End-of-year plan assets
$38,294

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
202389I, C20241212124319NAL0007813587001

Reported financial statement (2023 · Schedule I)

Net assets

Total assets (EOY)
$38,294
Total liabilities (EOY)
$160,451
Net assets (EOY)
-$122,157
Net assets (BOY)
-$31,343

Income & contributions

Employer contributions
$1,150,894
Participant contributions
$181,876
Total income / additions
$1,333,260

Expenses & distributions

Benefits paid
$793,946
Administrative expenses
$17,784
Total expenses
$1,424,074
Net increase / (decrease)
-$90,814

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Pci (Pa Chamber Insurance)BROKER$27,300not reported in the loaded dataset2023
The Benecon Group, LLCBROKER$21,278not reported in the loaded dataset2023
Highmark WestADMIN$17,784not reported in the loaded dataset2023
Connectcare3PATIENT ADVOCATE$5,852not reported in the loaded dataset2023

Related Form 5500 pages