2023 Form 5500 filing — Belleville Shoe Manufacturing Co. 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 20241009160411NAL0009386435001) for Belleville Shoe Manufacturing Co. Group Medical Plan, reported by Belleville Shoe Manufacturing Co. under EIN 37-0173680 and plan number 502. It reports 483 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241009160411NAL0009386435001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Belleville Shoe Manufacturing Co.
- EIN
- 37-0173680
- Plan number
- 502
- Location
- Belleville, IL
- Participants
- 483
- 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. |
|---|---|---|---|
| United Healthcare Services, Inc. | CLAIMS PROCESSOR | $315,317 | $0 |
| Digital Insurance LLC | BROKER | $39,502 | not reported in the loaded dataset |
| Wex Health, Inc. | 3RD PARTY | $4,172 | not reported in the loaded dataset |