Plan5500

Southern Employers Hospitalization, Dental & Vision Care Plan — Form 5500 plan (Racetrac, 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, Southern Employers Hospitalization, Dental & Vision Care Plan is a benefit plan reported by Racetrac, Inc. under EIN 63-0642959 and plan number 507. The latest loaded filing year is 2023. The filing reports 4,498 participants and $0 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Racetrac, Inc.
EIN
63-0642959
Plan number
507
Plan type
2
Location
Atlanta, GA
Latest filing year
2023
Participants
4,498
End-of-year plan assets
$0

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
20234,498H, C20241015111154NAL0048985904001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$0
Total liabilities (EOY)
$0
Net assets (EOY)
$0
Net assets (BOY)
$1,521,170

Income & contributions

Participant contributions
$2,785,699
Total contributions
$2,785,699
Total income / additions
$2,786,098

Expenses & distributions

Benefits paid
$2,018,289
Administrative expenses
$298,745
Total expenses
$2,317,034
Net increase / (decrease)
$469,064

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Cigna Health And Life InsuranceNONE$212,780not reported in the loaded dataset2023
Meritain Health, Inc.NONE$72,680not reported in the loaded dataset2023
Cbiz Benefits & Insurance ServicesNONE$0$21,9742023
Eyemed Vision CareNONE$13,285not reported in the loaded dataset2023

Related Form 5500 pages