Five Star Food Service Group Medical Plan — Form 5500 plan (Five Star Food Service, 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, Five Star Food Service Group Medical Plan is a benefit plan reported by Five Star Food Service, Inc. under EIN 58-2225899 and plan number 501. The latest loaded filing year is 2023. The filing reports 2,168 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
Five Star Food Service, Inc.
EIN
58-2225899
Plan number
501
Plan type
2
Location
Chattanooga, TN
Latest filing year
2023
Participants
2,168
End-of-year plan assets
not reported in the loaded dataset

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
20232,168C20241008095342NAL0016423329001

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)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Allegiance Benefit Plan ManagementCONTRACT ADMINISTRATOR$327,038$1,0672023
Allegiance Care ManagementCONTRACT ADMINISTRATOR$38,932not reported in the loaded dataset2023
Cvs Pharmacy, IncCLAIMS PROCESSING$25,546not reported in the loaded dataset2023
WexCLAIMS PROCESSING$7,820not reported in the loaded dataset2023

Related Form 5500 pages