Excelsior Springs City Hospital Welfare Benefit Plan — Form 5500 plan (Excelsior Springs City Hospital)
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, Excelsior Springs City Hospital Welfare Benefit Plan is a benefit plan reported by Excelsior Springs City Hospital under EIN 43-1080811 and plan number 505. The latest loaded filing year is 2023. The filing reports 170 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
- Excelsior Springs City Hospital
- EIN
- 43-1080811
- Plan number
- 505
- Plan type
- 2
- Location
- Excelsior Springs, MO
- Latest filing year
- 2023
- Participants
- 170
- End-of-year plan assets
- not reported in the loaded dataset
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 170 | C | 20240809081108NAL0003194739001 |
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 |
|---|---|---|---|---|
| Meritain Health | MEDICAL PLAN TPA | $103,968 | $0 | 2023 |
| Bukaty Companies | AGENT/BROKER | $57,600 | $0 | 2023 |