2023 Form 5500 filing — Mohawk Gaming Enterprises LLC Health 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 20240702090808NAL0004785425001) for Mohawk Gaming Enterprises LLC Health Plan, reported by Mohawk Gaming Enterprises LLC under EIN 16-1558843 and plan number 501. It reports 594 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).

EFAST2 acknowledgement
20240702090808NAL0004785425001
Filing year
2023
Form type
2
Plan sponsor
Mohawk Gaming Enterprises LLC
EIN
16-1558843
Plan number
501
Location
Akwesasne, NY
Participants
594
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)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
Excellus Blue Cross Blue ShieldADMINISTRATOR$443,292not reported in the loaded dataset
Excellus Blue Cross Blue ShieldADMINISTRATOR$213,849not reported in the loaded dataset
Excellus Blue Cross Blue ShieldCLAIMS ADMINISTRATOR$161,491not reported in the loaded dataset

Related Form 5500 pages