Medben Employee Medical Welfare Benefit Plan — Form 5500 plan (Medical Benefits Mutual Life Insurance Co.)
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, Medben Employee Medical Welfare Benefit Plan is a benefit plan reported by Medical Benefits Mutual Life Insurance Co. under EIN 31-4210910 and plan number 501. The latest loaded filing year is 2023. The filing reports 121 participants and $23,149 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Medical Benefits Mutual Life Insurance Co.
- EIN
- 31-4210910
- Plan number
- 501
- Plan type
- 2
- Location
- Newark, OH
- Latest filing year
- 2023
- Participants
- 121
- End-of-year plan assets
- $23,149
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 121 | H, C | 20241015093949NAL0048696624001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $23,149
- Total liabilities (EOY)
- $121,995
- Net assets (EOY)
- -$98,846
- Net assets (BOY)
- -$62,921
Income & contributions
- Employer contributions
- $1,299,000
- Participant contributions
- $202,723
- Total contributions
- $1,501,723
- Total income / additions
- $1,501,723
Expenses & distributions
- Benefits paid
- $1,516,149
- Administrative expenses
- $21,499
- Total expenses
- $1,537,648
- Net increase / (decrease)
- -$35,925
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Quality Care Partners | CONTRACT | $14,220 | $0 | 2023 |