Southdale Pediatric Associates, Ltd., Group Health Insurance Plan — Form 5500 plan (Southdale Pediatric Associates, Ltd.)
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, Southdale Pediatric Associates, Ltd., Group Health Insurance Plan is a benefit plan reported by Southdale Pediatric Associates, Ltd. under EIN 41-0962307 and plan number 502. The latest loaded filing year is 2023. The filing reports 125 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
- Southdale Pediatric Associates, Ltd.
- EIN
- 41-0962307
- Plan number
- 502
- Plan type
- 2
- Location
- Edina, MN
- Latest filing year
- 2023
- Participants
- 125
- End-of-year plan assets
- not reported in the loaded dataset
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 125 | C | 20240510145057NAL0053513954001 |
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 |
|---|---|---|---|---|
| Medica Self Insured | CLAIM PROCESSING | $94,425 | not reported in the loaded dataset | 2023 |
| Medica Self Insured | CLAIM PROCESSING | $33,796 | $0 | 2023 |
| Optuminsight, Inc. | CLAIM PROCESSING | $692 | not reported in the loaded dataset | 2023 |