2023 Form 5500 filing — Western Pennsylvania Conservancy 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 20241004071258NAL0019090864001) for Western Pennsylvania Conservancy Group Medical Plan, reported by Western Pennsylvania Conservancy under EIN 25-1053485 and plan number 505. It reports 160 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241004071258NAL0019090864001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Western Pennsylvania Conservancy
- EIN
- 25-1053485
- Plan number
- 505
- Location
- Pittsburgh, PA
- Participants
- 160
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $188,738
- Total liabilities (EOY)
- $366,243
- Net assets (EOY)
- -$177,505
- Employer contributions
- $1,760,100
- Participant contributions
- $225,037
- Total income / additions
- $1,985,702
- Benefits paid
- $1,582,466
- Administrative expenses
- $580,741
- Total expenses
- $2,163,207
- Net increase / (decrease)
- -$177,505
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| The Djb Group | BROKER | $63,136 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $31,055 | not reported in the loaded dataset |
| Upmc Benefit Management Services | ADMIN | $18,744 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $10,773 | not reported in the loaded dataset |