2023 Form 5500 filing — Beloit Health System, Inc. 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 20241009082906NAL0010430867001) for Beloit Health System, Inc. Dental Plan, reported by Beloit Health System, Inc. under EIN 39-1028081 and plan number 504. It reports 877 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241009082906NAL0010430867001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Beloit Health System, Inc.
- EIN
- 39-1028081
- Plan number
- 504
- Location
- Beloit, WI
- Participants
- 877
- Schedules available
- Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
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 Of Wisconsin | THIRD PARTY ADMINISTRATO | $42,564 | not reported in the loaded dataset |
| Jeff Klett | INSURANCE AGENT OR BROKE | $0 | not reported in the loaded dataset |