2023 Form 5500 filing — Ellis Hospital Employee Dental 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 20240927104208NAL0001155443001) for Ellis Hospital Employee Dental Plan, reported by Ellis Hospital under EIN 14-1338428 and plan number 508. It reports 1,393 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
Filing snapshot
- EFAST2 acknowledgement
- 20240927104208NAL0001155443001
- Plan sponsor
- Ellis Hospital
- EIN
- 14-1338428
- Plan number
- 508
- Location
- Schenectady, NY
- Received date
- not reported in the loaded dataset
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
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. |
|---|---|---|---|
| Delta Dental | CLAIM ADMINISTRATOR | $93,949 | not reported in the loaded dataset |
| Nicholas J. Marino | BROKER | $10,120 | not reported in the loaded dataset |