2023 Form 5500 filing — Elsa Corporation Employee Health Plan

Plain-English filing 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, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20240425113051NAL0004972897001) for Elsa Corporation Employee Health Plan, reported by Elsa LLC under EIN 35-2023711 and plan number 501. It reports 611 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).

EFAST2 acknowledgement
20240425113051NAL0004972897001
Filing year
2023
Form type
2
Plan sponsor
Elsa LLC
EIN
35-2023711
Plan number
501
Location
Elwood, IN
Participants
611
Schedules available
Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

This 2023 filing is loaded, but detailed Schedule H/I financial figures are not present for it in the current loaded dataset. Participant counts and filing identity above are reported; asset and contribution detail comes from the financial schedules where filed.

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Umr, Inc.CLAIMS PROCESSING$338,225$19,933
Athem Insurance Companies, Inc.SERVICE FEE$172,514not reported in the loaded dataset
Express Scripts, Inc.RX ADMIN$30,898not reported in the loaded dataset
Delta Dental Of IndianaBENEFIT ADMIN$19,255not reported in the loaded dataset
Assuredpartners Of Indiana LLCBROKER$14,890not reported in the loaded dataset
Ingeniorx Inc.RX FEES$0$6,728

Related Form 5500 pages