2023 Form 5500 filing — Blueridge Fiber Solutions 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 20250616144959NAL0001054769001) for Blueridge Fiber Solutions Employee Health Benefit Plan, reported by Blueridge Fiber Solutions LLC under EIN 99-2755757 and plan number 501. It reports 124 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250616144959NAL0001054769001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Blueridge Fiber Solutions LLC
- EIN
- 99-2755757
- Plan number
- 501
- Location
- Reedsville, WV
- Participants
- 124
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $0
- Total liabilities (EOY)
- $49,674
- Net assets (EOY)
- -$49,674
- Employer contributions
- $1,272,868
- Participant contributions
- $486,135
- Total income / additions
- $1,759,003
- Benefits paid
- $1,696,491
- Administrative expenses
- $35,837
- Total expenses
- $1,732,328
- Net increase / (decrease)
- $26,675
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Carefactor | THIRD PARTY ADMINISTRATOR | $27,465 | $27,318 |
| Miller Lewis Insurance Company | BROKER | $21,084 | $0 |