2023 Form 5500 filing — Jockey International, Inc. Group 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 20241014160345NAL0046736048001) for Jockey International, Inc. Group Health Plan, reported by Jockey International, Inc. under EIN 39-0224670 and plan number 509. It reports 757 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
Filing snapshot
- EFAST2 acknowledgement
- 20241014160345NAL0046736048001
- Plan sponsor
- Jockey International, Inc.
- EIN
- 39-0224670
- Plan number
- 509
- Location
- Kenosha, WI
- Received date
- not reported in the loaded dataset
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
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 | $359,886 | $0 |
| Cigna Health And Life Insurance Com | CLAIM ADMINISTRATION | $40,680 | $0 |