2023 Form 5500 filing — Choice Services International, Inc. 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 20240624080802NAL0003822083001) for Choice Services International, Inc. Group Medical Plan, reported by Choice Services International, Inc. under EIN 23-2828406 and plan number 501. It reports 52 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)-$171.2KReported net assets-$171,208
Participants52
Provider compensation$60.1K4 Schedule C row(s)$60,100
Schedules filedSchedule I, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20240624080802NAL0003822083001
- Plan sponsor
- Choice Services International, Inc.
- EIN
- 23-2828406
- Plan number
- 501
- Location
- Bellmawr, NJ
- Received date
- not reported in the loaded dataset
Schedule I · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$7.7K total assets
Net assets-$171.2KLiabilities$178.9K
Full reported line items
- Total assets (EOY)
- $7,678
- Total liabilities (EOY)
- $178,886
- Net assets (EOY)
- -$171,208
- Employer contributions
- $637,098
- Participant contributions
- $215,392
- Total income / additions
- $854,016
- Benefits paid
- $550,582
- Administrative expenses
- $12,730
- Total expenses
- $864,960
- Net increase / (decrease)
- -$10,944
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Patriot (The Safegard Group, Inc.) | BROKER | $33,134 | not reported in the loaded dataset |
| Meritain Health, An Aetna Company | ADMIN | $12,730 | not reported in the loaded dataset |
| The Benecon Group, LLC | BROKER | $11,100 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $3,136 | not reported in the loaded dataset |