2023 Form 5500 filing — David H. Martin Excavating, Incorporated Health 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 20241009084259NAL0018914721001) for David H. Martin Excavating, Incorporated Health Plan, reported by David H. Martin Excavating, Incorporated under EIN 25-1564223 and plan number 501. It reports 176 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241009084259NAL0018914721001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- David H. Martin Excavating, Incorporated
- EIN
- 25-1564223
- Plan number
- 501
- Location
- Chambersburg, PA
- Participants
- 176
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $123,005
- Total liabilities (EOY)
- $364,561
- Net assets (EOY)
- -$241,556
- Employer contributions
- $1,760,703
- Participant contributions
- $279,406
- Total income / additions
- $2,043,633
- Benefits paid
- $1,466,611
- Administrative expenses
- $665,780
- Total expenses
- $2,132,391
- Net increase / (decrease)
- -$88,758
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Capital Blue Cross | ADMIN | $106,473 | not reported in the loaded dataset |
| Harding-Yost Insurance Associates, | BROKER | $65,844 | not reported in the loaded dataset |
| The Benecon Group | BROKER | $34,470 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $11,385 | not reported in the loaded dataset |