2023 Form 5500 filing — East Texas Bancshares, Inc. Health 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 20240723105328NAL0011135537002) for East Texas Bancshares, Inc. Health Benefit Plan, reported by East Texas Bancshares, Inc. under EIN 76-0151437 and plan number 502. It reports 122 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240723105328NAL0011135537002
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- East Texas Bancshares, Inc.
- EIN
- 76-0151437
- Plan number
- 502
- Location
- Livingston, TX
- Participants
- 122
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Employer contributions
- $960,838
- Participant contributions
- $69,625
- Total income / additions
- $1,030,463
- Benefits paid
- $1,030,463
- Total expenses
- $1,030,463
- Net increase / (decrease)
- $0
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Insurance Management Services | TPA | $59,209 | not reported in the loaded dataset |
| American Health Holding, Inc. | TELEMEDICINE | $6,538 | not reported in the loaded dataset |