2023 Form 5500 filing — Racetrac, Inc. Group Health And Life Insurance 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 20241209110442NAL0009181473001) for Racetrac, Inc. Group Health And Life Insurance Plan, reported by Racetrac, Inc. under EIN 63-0642959 and plan number 502. It reports 3,297 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20241209110442NAL0009181473001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Racetrac, Inc.
- EIN
- 63-0642959
- Plan number
- 502
- Location
- Atlanta, GA
- Participants
- 3,297
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $2,511,912
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $2,511,912
- Employer contributions
- $19,647,986
- Participant contributions
- $9,795,665
- Total income / additions
- $29,443,651
- Benefits paid
- $26,641,648
- Administrative expenses
- $3,162,087
- Total expenses
- $29,803,735
- Net increase / (decrease)
- -$360,084
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Umr, Inc. | NONE | $1,898,657 | $16,858 |
| Accolade | NONE | $744,581 | not reported in the loaded dataset |
| Cigna Health And Life Insurance Co | NONE | $422,600 | $0 |
| Cbiz Benefits & Insurance Services | NONE | $82,495 | -$202 |
| Cbiz Payroll | NONE | $13,754 | not reported in the loaded dataset |