2023 Form 5500 filing — Godolphin, LLC Health Insurance 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 20240718143923NAL0005972897001) for Godolphin, LLC Health Insurance Plan, reported by Godolphin, LLC under EIN 51-0338850 and plan number 501. It reports 134 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)Not reported
Participants134
Provider compensation$146.1K2 Schedule C row(s)$146,058
Schedules filedSchedule I, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20240718143923NAL0005972897001
- Plan sponsor
- Godolphin, LLC
- EIN
- 51-0338850
- Plan number
- 501
- Location
- Lexington, KY
- 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.
Full reported line items
- Employer contributions
- $37,617
- Total income / additions
- $37,617
- Benefits paid
- $37,617
- Total expenses
- $37,617
- Net increase / (decrease)
- $0
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Anthem Health Plans Of Ky, Inc | not reported in the loaded dataset | $146,058 | not reported in the loaded dataset |
| Employee Benefit Assoc Inc | not reported in the loaded dataset | $0 | not reported in the loaded dataset |