2023 Form 5500 filing — Northern Health 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 20250716020300NAL0004174896002) for Northern Health Plan, reported by Northern Metropolitan Inc. under EIN 13-3070759 and plan number 501. It reports 30 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).

Form 5500 2 · 2023

Filing snapshot

Net assets (EOY)$658.1KReported net assets$658,076
Participants30
Provider compensationNone reported
Schedules filedSchedule ILoaded schedules
EFAST2 acknowledgement
20250716020300NAL0004174896002
Plan sponsor
Northern Metropolitan Inc.
EIN
13-3070759
Plan number
501
Location
Monsey, NY
Received date
not reported in the loaded dataset
How to read this filing
  • This is a single annual Form 5500 filing, identified by its EFAST2 acknowledgement id.
  • Schedule chips (Sch H / I / C) show which schedules this filing includes.
  • Net assets = total assets minus total liabilities (Schedule H/I).
  • Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
  • For the plan's full history, open the plan profile.
Schedule I · 2023

Reported financial snapshot

Reported figures as filed, in whole dollars. Only fields the filing reports are shown.

Reported balance (end of year)$799.6K total assets
Net assets$658.1KLiabilities$141.5K
Money in vs. money out
Total income / additions$160.5K
Total expenses$246K
Benefits paid / distributions$235K
Contributions
Employer$59.5K
Participant$101K
Full reported line items
Total assets (EOY)
$799,612
Total liabilities (EOY)
$141,536
Net assets (EOY)
$658,076
Employer contributions
$59,475
Participant contributions
$101,046
Total income / additions
$160,521
Benefits paid
$235,021
Total expenses
$245,962
Net increase / (decrease)
-$85,441

What to inspect next

Frequently asked questions

What does EFAST2 acknowledgement 20250716020300NAL0004174896002 cover?
It is the 2023 Form 5500 filing for Northern Health Plan, reported by Northern Metropolitan Inc. (EIN 13-3070759).
Which Form 5500 schedules are attached to this 2023 filing?
Attached schedules in the loaded dataset include Schedule I (small plan financials).

Related Form 5500 pages