Plan5500

Creative Surfaces, Inc. Group Health Benefits Plan — Form 5500 plan (Creative Surfaces, 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, Creative Surfaces, Inc. Group Health Benefits Plan is a benefit plan reported by Creative Surfaces, Inc. under EIN 36-3612708 and plan number 501. The latest loaded filing year is 2023. The filing reports 141 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
Creative Surfaces, Inc.
EIN
36-3612708
Plan number
501
Plan type
2
Location
Sioux Falls, SD
Latest filing year
2023
Participants
141
End-of-year plan assets
not reported in the loaded dataset

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023141C20240725103455NAL0014304337001

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
Optum Rx IncPHARMACY BENEFIT MGMT$119,426$4362023
Umr, Inc.CLAIM PROCESSING$64,702$1492023
Holmes Murphy & Associates IncBROKER$29,260not reported in the loaded dataset2023
Holmes Murphy & Associates IncCLAIM PROCESSING$141not reported in the loaded dataset2023
C2 Centric LLCCLAIM PROCESSING$5not reported in the loaded dataset2023

Related Form 5500 pages