2023 Form 5500 filing — Iti Indiana, LLC Employee Health Care 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 20240613130353NAL0016393811001) for Iti Indiana, LLC Employee Health Care Plan, reported by Iti Indiana, LLC under EIN 20-1578389 and plan number 501. It reports 239 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240613130353NAL0016393811001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Iti Indiana, LLC
- EIN
- 20-1578389
- Plan number
- 501
- Location
- Fort Wayne, IN
- Participants
- 239
- 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. |
|---|---|---|---|
| True Rx Management Services, Inc. | PBM | $290,230 | not reported in the loaded dataset |