Godolphin, LLC Health Insurance Plan — Form 5500 plan (Godolphin, LLC)

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, Godolphin, LLC Health Insurance Plan is a benefit plan reported by Godolphin, LLC under EIN 51-0338850 and plan number 501. The latest loaded filing year is 2023. The filing reports 134 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
Participants134Covered participants reported
Assets / participantNot reported
Provider compensation$146.1K2 Schedule C provider row(s)$146,058
Plan sponsor
Godolphin, LLC
EIN
51-0338850
Plan number
501
Plan type
2
Location
Lexington, KY
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023134I, C20240718143923NAL0005972897001
Schedule I · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Money in vs. money out
Total income / additions$37.6K
Total expenses$37.6K
Benefits paid / distributions$37.6K
Contributions
Employer$37.6K
ParticipantNot reported
Full reported line items

Income & contributions

Employer contributions
$37,617
Total income / additions
$37,617

Expenses & distributions

Benefits paid
$37,617
Total expenses
$37,617
Net increase / (decrease)
$0
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Benefits paid ÷ total income100%Computed ratio

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Anthem Health Plans Of Ky, Incnot reported in the loaded dataset$146,058not reported in the loaded dataset2023
Employee Benefit Assoc Incnot reported in the loaded dataset$0not reported in the loaded dataset2023

Related Form 5500 pages