Medical Benefit Plan For Employees Of Community Wholesale Tire — Form 5500 plan (Community Wholesale Tire Dist., 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, Medical Benefit Plan For Employees Of Community Wholesale Tire is a benefit plan reported by Community Wholesale Tire Dist., Inc. under EIN 43-0799202 and plan number 501. The latest loaded filing year is 2023. The filing reports 219 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
- Community Wholesale Tire Dist., Inc.
- EIN
- 43-0799202
- Plan number
- 501
- Plan type
- 2
- Location
- Hazelwood, MO
- Latest filing year
- 2023
- Participants
- 219
- End-of-year plan assets
- not reported in the loaded dataset
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 219 | C | 20240725111601NAL0008170419004 |
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 |
|---|---|---|---|---|
| Optum Rx Inc. | PHARMACY BENEFIT MGMT | $458,180 | $1,737 | 2023 |
| Umr, Inc. | CLAIMS PROCESSING | $111,512 | $444 | 2023 |
| Rsc Insurance Brokerage Inc | BROKER | $66,586 | not reported in the loaded dataset | 2023 |
| Delta Dental Of Missouri | NONE | $25,849 | not reported in the loaded dataset | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Community Wholesale Tire Dist., Inc.
- 2023 Form 5500 filing
- Form 5500 filings in MO
- 401(k) and benefit plan filings in Hazelwood, MO
- Optum Rx Inc. — Schedule C compensation
- Umr, Inc. — Schedule C compensation
- Rsc Insurance Brokerage Inc — Schedule C compensation
- Delta Dental Of Missouri — Schedule C compensation