2023 Form 5500 filing — Fidelity Group Employees Medical, Dental And Cafeteria 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 20241120155102NAL0008808866001) for Fidelity Group Employees Medical, Dental And Cafeteria Plan, reported by Fmr LLC under EIN 04-3532603 and plan number 506. It reports 59,935 participants. Attached schedules in the loaded dataset include Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241120155102NAL0008808866001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Fmr LLC
- EIN
- 04-3532603
- Plan number
- 506
- Location
- Boston, MA
- Participants
- 59,935
- 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 Health Care Insurance Co | CONTRACT ADMINISTRATOR | $23,691,153 | $272,871 |
| Lyra Clinical Associates, P.C. | CONTRACT ADMINISTRATOR | $11,405,060 | not reported in the loaded dataset |
| Eyemed | CONTRACT ADMINISTRATOR | $6,524,892 | not reported in the loaded dataset |
| Premise Health Employer Solutions | CONTRACT ADMINISTRATOR | $6,439,358 | not reported in the loaded dataset |
| Metropolitan Life Insurance Company | CONTRACT ADMINISTRATOR | $2,402,009 | not reported in the loaded dataset |
| Cvs Caremark | CONTRACT ADMINISTRATOR | $1,877,944 | not reported in the loaded dataset |
| Lyra Health, Inc. | CONTRACT ADMINISTRATOR | $1,348,524 | not reported in the loaded dataset |
| Harvard Pilgrim Health Care | CONTRACT ADMINISTRATOR | $1,140,399 | not reported in the loaded dataset |
| Humana Inc. | CONTRACT ADMINISTRATOR | $436,161 | not reported in the loaded dataset |
| Selecthealth | CONTRACT ADMINISTRATOR | $148,552 | not reported in the loaded dataset |
| Optumhealth Care Solutions, LLC | CONTRACT ADMINISTRATOR | $25,909 | not reported in the loaded dataset |