2023 Form 5500 filing — Medical Benefit Plan For Employees Of Community Wholesale Tire
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 20240725111601NAL0008170419004) for Medical Benefit Plan For Employees Of Community Wholesale Tire, reported by Community Wholesale Tire Dist., Inc. under EIN 43-0799202 and plan number 501. It reports 219 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240725111601NAL0008170419004
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Community Wholesale Tire Dist., Inc.
- EIN
- 43-0799202
- Plan number
- 501
- Location
- Hazelwood, MO
- Participants
- 219
- 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. |
|---|---|---|---|
| Optum Rx Inc. | PHARMACY BENEFIT MGMT | $458,180 | $1,737 |
| Umr, Inc. | CLAIMS PROCESSING | $111,512 | $444 |
| Rsc Insurance Brokerage Inc | BROKER | $66,586 | not reported in the loaded dataset |
| Delta Dental Of Missouri | NONE | $25,849 | not reported in the loaded dataset |