2023 Form 5500 filing — Tristate Group Insurance 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 20240507130338NAL0025535649001) for Tristate Group Insurance Plan, reported by Tri-State Generation & Transmission Association. Inc. under EIN 84-0464189 and plan number 501. It reports 1,115 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240507130338NAL0025535649001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Tri-State Generation & Transmission Association. Inc.
- EIN
- 84-0464189
- Plan number
- 501
- Location
- Denver, CO
- Participants
- 1,115
- 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)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Aetna Behavioral Health , LLC | PLAN ADMINISTRATOR | $27,893 | not reported in the loaded dataset |