Jockey International, Inc. Group Health Plan — Form 5500 plan (Jockey International, 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, Jockey International, Inc. Group Health Plan is a benefit plan reported by Jockey International, Inc. under EIN 39-0224670 and plan number 509. The latest loaded filing year is 2023. The filing reports 757 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)Not reported
Participants757Covered participants reported
Assets / participantNot reported
Provider compensation$400.6K2 Schedule C provider row(s)$400,566
- Plan sponsor
- Jockey International, Inc.
- EIN
- 39-0224670
- Plan number
- 509
- Plan type
- 2
- Location
- Kenosha, WI
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 757 | C | 20241014160345NAL0046736048001 |
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)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| United Healthcare Services, Inc. | CLAIMS PROCESSOR | $359,886 | $0 | 2023 |
| Cigna Health And Life Insurance Com | CLAIM ADMINISTRATION | $40,680 | $0 | 2023 |