2023 Form 5500 filing — Plan A Health Care 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 20250815114948NAL0005865971001) for Plan A Health Care Plan, reported by Community Living Options, Inc. under EIN 37-1079626 and plan number 501. It reports 1,061 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250815114948NAL0005865971001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Community Living Options, Inc.
- EIN
- 37-1079626
- Plan number
- 501
- Location
- Galesburg, IL
- Participants
- 1,061
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $1,738,417
- Total liabilities (EOY)
- $1,453,073
- Net assets (EOY)
- $285,344
- Employer contributions
- $7,283,530
- Participant contributions
- $2,823,498
- Total income / additions
- $10,184,552
- Benefits paid
- $10,190,191
- Administrative expenses
- $542,779
- Total expenses
- $10,732,970
- Net increase / (decrease)
- -$548,418
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Mutual Medical | CONTRACT ADMIN | $411,840 | $0 |
| Healthlink, Inc. | CONTRACT ADMIN | $122,128 | $0 |
| Rsm Us Llp | NONE | $121,225 | $0 |
| Chard Snyder | CONTRACT ADMIN | $8,028 | $0 |
| Benefit Planning Consultants, Inc. | CONTRACT ADMIN | $6,820 | $0 |
| Express Scripts, Inc. | CONTRACT ADMIN | $6,286 | $0 |