2023 Form 5500 filing — Keystone Peer Review Organization, Inc. Health & Welfare Plan For Sca Employees
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 20241015105950NAL0014445171001) for Keystone Peer Review Organization, Inc. Health & Welfare Plan For Sca Employees, reported by Keystone Peer Review Organization, Inc. under EIN 23-2348176 and plan number 502. It reports 237 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
Form 5500 2 · 2023
Filing snapshot
Net assets (EOY)$189.9KReported net assets$189,921
Participants237
Provider compensation$484.8K3 Schedule C row(s)$484,849
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20241015105950NAL0014445171001
- Plan sponsor
- Keystone Peer Review Organization, Inc.
- EIN
- 23-2348176
- Plan number
- 502
- Location
- Harrisburg, PA
- Received date
- not reported in the loaded dataset
Schedule H · 2023
Reported financial snapshot
Reported figures as filed, in whole dollars. Only fields the filing reports are shown.
Reported balance (end of year)$584.5K total assets
Net assets$189.9KLiabilities$394.6K
Full reported line items
- Total assets (EOY)
- $584,511
- Total liabilities (EOY)
- $394,590
- Net assets (EOY)
- $189,921
- Employer contributions
- $2,646,657
- Participant contributions
- $631,224
- Total income / additions
- $3,277,881
- Benefits paid
- $2,114,503
- Administrative expenses
- $687,771
- Total expenses
- $2,802,274
- Net increase / (decrease)
- $475,607
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Aetna Life Insurance Company | CONTRACT ADMINISTRATOR | $483,721 | $0 |
| Lincoln National Life Insurance Com | NONE | $578 | $0 |
| Lincoln National Life Insurance Com | NONE | $550 | $0 |