2023 Form 5500 filing — K Ii Holding Company Group Medical 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 20250122111313NAL0002912323001) for K Ii Holding Company Group Medical Plan, reported by K Ii Holding Company under EIN 26-4366175 and plan number 502. It reports 153 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)$317.4KReported net assets$317,367
Participants153
Provider compensation$168.5K8 Schedule C row(s)$168,521
Schedules filedSchedule H, Schedule CLoaded schedules
- EFAST2 acknowledgement
- 20250122111313NAL0002912323001
- Plan sponsor
- K Ii Holding Company
- EIN
- 26-4366175
- Plan number
- 502
- Location
- Camp Hill, 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)$440.3K total assets
Net assets$317.4KLiabilities$122.9K
Full reported line items
- Total assets (EOY)
- $440,262
- Total liabilities (EOY)
- $122,895
- Net assets (EOY)
- $317,367
- Employer contributions
- $1,364,637
- Participant contributions
- $598,460
- Total income / additions
- $2,077,444
- Benefits paid
- $1,464,713
- Administrative expenses
- $141,113
- Total expenses
- $1,605,826
- Net increase / (decrease)
- $471,618
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Brown & Brown Of Pa | BROKER | $69,459 | not reported in the loaded dataset |
| Highmark Blue Shield (Central) | ADMIN | $33,896 | not reported in the loaded dataset |
| The Benecon Group, LLC | BROKER | $28,034 | not reported in the loaded dataset |
| Brown & Brown Of Pa | BROKER | $17,940 | not reported in the loaded dataset |
| Connectcare3 | PATIENT ADVOCATE | $9,725 | not reported in the loaded dataset |
| The Benecon Group, LLC | BROKER | $7,029 | not reported in the loaded dataset |
| Connectcare 3 | PATIENT ADVOCATE | $2,438 | not reported in the loaded dataset |
| Capital Blue Cross | ADMIN | $0 | not reported in the loaded dataset |