2023 Form 5500 filing — Emerald Payroll Company, LLC Group Medical 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 20240916130553NAL0001522721001) for Emerald Payroll Company, LLC Group Medical Plan, reported by Emerald Payroll Company, LLC under EIN 83-1195833 and plan number 501. It reports 43 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240916130553NAL0001522721001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Emerald Payroll Company, LLC
- EIN
- 83-1195833
- Plan number
- 501
- Location
- Leola, PA
- Participants
- 43
- Schedules available
- Schedule I, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $122,387
- Total liabilities (EOY)
- $98,332
- Net assets (EOY)
- $24,055
- Employer contributions
- $1,074,135
- Participant contributions
- $0
- Total income / additions
- $1,077,999
- Benefits paid
- $563,885
- Administrative expenses
- $433
- Total expenses
- $923,832
- Net increase / (decrease)
- $154,167
- Schedule source
- Schedule I
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Engle Hambright & Davies Inc. | BROKER | $14,111 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $10,166 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $2,225 | not reported in the loaded dataset |
| Highmark | ADMIN | $433 | not reported in the loaded dataset |