Plan5500

2023 Form 5500 filing — Cottingham & Butler Insurance Service Inc. Self-Funded Employee Health Benefit 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 20250411102334NAL0026057761001) for Cottingham & Butler Insurance Service Inc. Self-Funded Employee Health Benefit Plan, reported by Cottingham & Butler Insurance Service Inc. under EIN 42-0198040 and plan number 501. It reports 864 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).

EFAST2 acknowledgement
20250411102334NAL0026057761001
Filing year
2023
Form type
2
Plan sponsor
Cottingham & Butler Insurance Service Inc.
EIN
42-0198040
Plan number
501
Location
Dubuque, IA
Participants
864
Schedules available
Schedule H, Schedule C
Received date
not reported in the loaded dataset

Reported financial snapshot (2023)

Total assets (EOY)
$2,406,698
Total liabilities (EOY)
$676,647
Net assets (EOY)
$1,730,051
Employer contributions
$7,169,981
Participant contributions
$3,065,983
Total income / additions
$10,358,195
Benefits paid
$8,070,807
Administrative expenses
$691,232
Total expenses
$8,762,039
Net increase / (decrease)
$1,596,156
Schedule source
Schedule H

Reported service provider compensation (Schedule C)

Compensation reported on the 2023 filing
ProviderServiceDirect comp.Indirect comp.
WellmarkTPA$587,845not reported in the loaded dataset
Butler Healthcorp IncDIVISION OF EMPLOYER$243,036not reported in the loaded dataset
Teladoc HealthTELEMEDICINE PROVIDER$97,613not reported in the loaded dataset
Self Insured Services CompanyDIVISION OF EMPLOYER$57,163not reported in the loaded dataset
OptumrxPBM$19,754not reported in the loaded dataset
Cigna(Connecticut General Life)PPO NETWORK$3,989not reported in the loaded dataset

Related Form 5500 pages