Southwest Kansas Chambers Alliance Health Plan, Inc. — Form 5500 plan (Southwest Kansas Chambers Alliance)
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, Southwest Kansas Chambers Alliance Health Plan, Inc. is a benefit plan reported by Southwest Kansas Chambers Alliance under EIN 85-1809543 and plan number 501. The latest loaded filing year is 2023. The filing reports 173 participants and $28,005 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Southwest Kansas Chambers Alliance
- EIN
- 85-1809543
- Plan number
- 501
- Plan type
- 3
- Location
- Scott City, KS
- Latest filing year
- 2023
- Participants
- 173
- End-of-year plan assets
- $28,005
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 173 | H, C | 20250303164944NAL0011301490001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $28,005
- Total liabilities (EOY)
- $201,608
- Net assets (EOY)
- -$173,603
- Net assets (BOY)
- -$395,762
Income & contributions
- Employer contributions
- $1,161,457
- Participant contributions
- $201,668
- Total contributions
- $1,457,956
- Total income / additions
- $1,458,012
Expenses & distributions
- Benefits paid
- $1,084,801
- Administrative expenses
- $151,052
- Total expenses
- $1,235,853
- Net increase / (decrease)
- $222,159
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Cpm, Inc. | NONE | $50,120 | not reported in the loaded dataset | 2023 |
| Fovis, Llp | NONE | $47,410 | not reported in the loaded dataset | 2023 |
| 6 Degrees Health | NONE | $30,072 | not reported in the loaded dataset | 2023 |
| Heartland Benefits Group | NONE | $22,554 | not reported in the loaded dataset | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Southwest Kansas Chambers Alliance
- 2023 Form 5500 filing
- Form 5500 filings in KS
- 401(k) and benefit plan filings in Scott City, KS
- Cpm, Inc. — Schedule C compensation
- Fovis, Llp — Schedule C compensation
- 6 Degrees Health — Schedule C compensation
- Heartland Benefits Group — Schedule C compensation