2023 Form 5500 filing — Embassy Bank For The Lehigh Valley Group 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 20240503110130NAL0020121955001) for Embassy Bank For The Lehigh Valley Group Health Plan, reported by Embassy Bank For The Lehigh Valley under EIN 23-3081363 and plan number 501. It reports 77 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240503110130NAL0020121955001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Embassy Bank For The Lehigh Valley
- EIN
- 23-3081363
- Plan number
- 501
- Location
- Bethlehem, PA
- Participants
- 77
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $200,615
- Total liabilities (EOY)
- $24,830
- Net assets (EOY)
- $175,785
- Employer contributions
- $1,045,541
- Participant contributions
- $326,114
- Total income / additions
- $1,371,875
- Benefits paid
- $781,223
- Administrative expenses
- $74,771
- Total expenses
- $1,255,588
- Net increase / (decrease)
- $116,287
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Employee Benefits Consult(Idicon) | BROKER | $27,330 | not reported in the loaded dataset |
| L. R. Weber | BROKER | $21,241 | not reported in the loaded dataset |
| Employee Benefits Consult(Idicon) | BROKER | $20,610 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $16,334 | not reported in the loaded dataset |
| L. R. Weber | BROKER | $13,589 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $11,961 | not reported in the loaded dataset |
| Capital Blue Cross | ADMIN | $5,466 | not reported in the loaded dataset |
| Pbasc | ADMIN | $5,384 | not reported in the loaded dataset |
| Capital Blue Cross | ADMIN | $4,122 | not reported in the loaded dataset |
| Pbasc | ADMIN | $3,943 | not reported in the loaded dataset |