2023 Form 5500 filing — Kentucky Health Benefit Trust

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 20241115101202NAL0000483427001) for Kentucky Health Benefit Trust, reported by Bluegrass Health Partners under EIN 81-1010658 and plan number 501. It reports 374 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20241115101202NAL0000483427001
Filing year
2023
Form type
2
Plan sponsor
Bluegrass Health Partners
EIN
81-1010658
Plan number
501
Location
Brooklyn, NY
Participants
374
Schedules available
Schedule H, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$854,159
Total liabilities (EOY)
$677,321
Net assets (EOY)
$176,838
Employer contributions
$2,786,482
Participant contributions
$870,527
Total income / additions
$3,657,009
Benefits paid
$2,870,391
Administrative expenses
$554,983
Total expenses
$3,425,374
Net increase / (decrease)
$231,635
Schedule source
Schedule H

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
American Plan AdministratorsCONTRACT ADMINISTRATOR$321,950not reported in the loaded dataset
Eagle Risk Services, LLCTHIRD PARTY ADMINISTRATOR$225,000not reported in the loaded dataset
Fasten Halberstam LlpPLAN AUDITOR$7,500not reported in the loaded dataset

Related Form 5500 pages