2023 Form 5500 filing — Versant Power Health & Welfare 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 20240726112908NAL0010154147001) for Versant Power Health & Welfare Plan, reported by Versant Power under EIN 01-0024370 and plan number 502. It reports 473 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$3.7MReported net assets$3,655,226
Participants473
Provider compensation$1M3 Schedule C row(s)$1,027,294
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20240726112908NAL0010154147001
- Plan sponsor
- Versant Power
- EIN
- 01-0024370
- Plan number
- 502
- Location
- Bangor, ME
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$3.8M total assets
Net assets$3.7MLiabilities$131K
Full reported line items
- Total assets (EOY)
- $3,786,226
- Total liabilities (EOY)
- $131,000
- Net assets (EOY)
- $3,655,226
- Employer contributions
- $7,828,789
- Participant contributions
- $2,165,889
- Total income / additions
- $10,459,264
- Benefits paid
- $9,455,466
- Administrative expenses
- $271,956
- Total expenses
- $9,727,422
- Net increase / (decrease)
- $731,842
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Anthem Health Plans Of Maine Inc | CLAIMS ADMINISTRATOR | $331,710 | $675,565 |
| Optum Health Financial Services | CLAIMS ADMINISTRATOR | $16,125 | not reported in the loaded dataset |
| Bank Of America | TRUSTEE | $3,894 | not reported in the loaded dataset |