Providence Medical Group Inc Welfare Benefit Plan — Form 5500 plan (Providence Medical Group, 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, Providence Medical Group Inc Welfare Benefit Plan is a benefit plan reported by Providence Medical Group, Inc. under EIN 42-1534506 and plan number 501. The latest loaded filing year is 2023. The filing reports 268 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
- Providence Medical Group, Inc.
- EIN
- 42-1534506
- Plan number
- 501
- Plan type
- 2
- Location
- Dayton, OH
- Latest filing year
- 2023
- Participants
- 268
- End-of-year plan assets
- not reported in the loaded dataset
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 268 | C | 20241010100624NAL0035422112004 |
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 |
|---|---|---|---|---|
| Umr, Inc | CLAIMS PROCESSING | $119,183 | $2,481 | 2023 |
| Mcgohan Brabender Agency Inc | BROKER | $30,082 | not reported in the loaded dataset | 2023 |