2023 Form 5500 filing — Medben Employee Medical Welfare Benefit 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 20241015093949NAL0048696624001) for Medben Employee Medical Welfare Benefit Plan, reported by Medical Benefits Mutual Life Insurance Co. under EIN 31-4210910 and plan number 501. It reports 121 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241015093949NAL0048696624001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Medical Benefits Mutual Life Insurance Co.
- EIN
- 31-4210910
- Plan number
- 501
- Location
- Newark, OH
- Participants
- 121
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $23,149
- Total liabilities (EOY)
- $121,995
- Net assets (EOY)
- -$98,846
- Employer contributions
- $1,299,000
- Participant contributions
- $202,723
- Total income / additions
- $1,501,723
- Benefits paid
- $1,516,149
- Administrative expenses
- $21,499
- Total expenses
- $1,537,648
- Net increase / (decrease)
- -$35,925
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Quality Care Partners | CONTRACT | $14,220 | $0 |