2023 Form 5500 filing — Employees' Non Par Life Group Insurance Arrangement
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 20240927142415NAL0001115795002) for Employees' Non Par Life Group Insurance Arrangement, reported by Hospital Employee Benefit Assoc. Trust under EIN 35-1394215 and plan number 504. It reports 2,001 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20240927142415NAL0001115795002
- Filing year
- 2023
- Form type
- 4
- Plan sponsor
- Hospital Employee Benefit Assoc. Trust
- EIN
- 35-1394215
- Plan number
- 504
- Location
- Carmel, IN
- Participants
- 2,001
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $39,518
- Total liabilities (EOY)
- $39,518
- Net assets (EOY)
- $0
- Employer contributions
- $352,959
- Total income / additions
- $352,959
- Benefits paid
- $328,508
- Administrative expenses
- $24,451
- Total expenses
- $352,959
- Net increase / (decrease)
- $0
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Gbs Administrators, Inc. | INDEPENDENT CONTRACTOR | $24,451 | not reported in the loaded dataset |