2023 Form 5500 filing — Sumiriko Tennessee Health & Welfare Benefit 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 20240613093947NAL0030426721001) for Sumiriko Tennessee Health & Welfare Benefit Plan, reported by Sumiriko Tennessee, Inc. under EIN 31-1474377 and plan number 507. It reports 1,384 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240613093947NAL0030426721001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Sumiriko Tennessee, Inc.
- EIN
- 31-1474377
- Plan number
- 507
- Location
- Midway, TN
- Participants
- 1,384
- 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. |
|---|---|---|---|
| Blue Cross Blue Shield Of Tn | CONTRACT ADMINISTRATOR | $628,227 | $137,176 |
| Delta Dental Of Tennessee | CONTRACT ADMINISTRATOR | $43,889 | not reported in the loaded dataset |