Amiya LLC Self Funded Medical Reimbursement Plan — Form 5500 plan (Amiya 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, Amiya LLC Self Funded Medical Reimbursement Plan is a benefit plan reported by Amiya LLC under EIN 27-0870524 and plan number 501. The latest loaded filing year is 2023. The filing reports 5 participants and $5,934 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Amiya LLC
EIN
27-0870524
Plan number
501
Plan type
2
Location
Kenmore, WA
Latest filing year
2023
Participants
5
End-of-year plan assets
$5,934

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
20235I20250717185803NAL0001459106001

Reported financial statement (2023 · Schedule I)

Net assets

Total assets (EOY)
$5,934
Net assets (EOY)
$5,934
Net assets (BOY)
$0

Income & contributions

Participant contributions
$11,575
Total income / additions
$11,736

Expenses & distributions

Benefits paid
$782
Administrative expenses
$5,020
Total expenses
$5,802
Net increase / (decrease)
$5,934

Service provider compensation (Schedule C)

No Schedule C service provider compensation is loaded for this plan yet.

Related Form 5500 pages