Optomi, LLC Welfare Benefit Plan — Form 5500 plan (Optomi, 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, Optomi, LLC Welfare Benefit Plan is a benefit plan reported by Optomi, LLC under EIN 30-0747677 and plan number 501. The latest loaded filing year is 2023. The filing reports 376 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
Optomi, LLC
EIN
30-0747677
Plan number
501
Plan type
2
Location
Atlanta, GA
Latest filing year
2023
Participants
376
End-of-year plan assets
not reported in the loaded dataset

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023376C20240628150418NAL0000553859001

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)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Bcbs Healthcare Plan Of Ga Inc.TPA FEES$887,468not reported in the loaded dataset2023
Ingeniorx, Inc.RX ADMIN FEES$0$194,1442023
Digital Insurance LLCBROKER FEE$0$139,7812023
Assuredpartners Ne LLCBROKER FEE$0$26,0542023

Related Form 5500 pages