2023 Form 5500 filing — Ussc Acquisition Corp. Group Medical 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 20240611162900NAL0050134240001) for Ussc Acquisition Corp. Group Medical Plan, reported by Ussc Acquisition Corp. under EIN 47-4495315 and plan number 511. It reports 106 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240611162900NAL0050134240001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Ussc Acquisition Corp.
- EIN
- 47-4495315
- Plan number
- 511
- Location
- Exton, PA
- Participants
- 106
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $750,199
- Total liabilities (EOY)
- $2,069
- Net assets (EOY)
- $748,130
- Employer contributions
- $2,961,771
- Total income / additions
- $2,966,053
- Benefits paid
- $2,094,238
- Administrative expenses
- $173,816
- Total expenses
- $2,268,054
- Net increase / (decrease)
- $697,999
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Brown & Brown Of Pennsylvania | BROKER | $87,992 | not reported in the loaded dataset |
| Independence Administrators | ADMIN | $79,804 | not reported in the loaded dataset |
| Independence Administrators | ADMIN | $79,337 | not reported in the loaded dataset |
| Brown & Brown Of Pennsylvania | BROKER | $73,334 | not reported in the loaded dataset |
| Independence Administrators | ADMIN | $64,170 | not reported in the loaded dataset |
| Brown & Brown Of Pennsylvania | BROKER | $63,290 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $43,942 | not reported in the loaded dataset |
| Brown & Brown Of Pennsylvania | BROKER | $43,552 | not reported in the loaded dataset |
| Independence Administrators | ADMIN | $32,834 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $30,271 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $29,137 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $22,797 | not reported in the loaded dataset |
| Brown & Brown Of Pennsylvania | BROKER | $22,400 | not reported in the loaded dataset |
| Umr | ADMIN | $19,891 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $13,870 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $12,560 | not reported in the loaded dataset |
| Innovu | BROKER | $10,304 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $10,108 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $8,551 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $6,601 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $3,395 | not reported in the loaded dataset |