Fidelity Group Employees Medical, Dental And Cafeteria Plan — Form 5500 plan (Fmr LLC)

Plain-English plan 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, Fidelity Group Employees Medical, Dental And Cafeteria Plan is a benefit plan reported by Fmr LLC under EIN 04-3532603 and plan number 506. The latest loaded filing year is 2023. The filing reports 59,935 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Fmr LLC
EIN
04-3532603
Plan number
506
Plan type
2
Location
Boston, MA
Latest filing year
2023
Participants
59,935
End-of-year plan assets
not reported in the loaded dataset

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
202359,935C20241120155102NAL0008808866001

Reported financial statement

This plan is loaded, but Schedule H / I financial-statement detail is not present for it in the current loaded dataset.

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
United Health Care Insurance CoCONTRACT ADMINISTRATOR$23,691,153$272,8712023
Lyra Clinical Associates, P.C.CONTRACT ADMINISTRATOR$11,405,060not reported in the loaded dataset2023
EyemedCONTRACT ADMINISTRATOR$6,524,892not reported in the loaded dataset2023
Premise Health Employer SolutionsCONTRACT ADMINISTRATOR$6,439,358not reported in the loaded dataset2023
Metropolitan Life Insurance CompanyCONTRACT ADMINISTRATOR$2,402,009not reported in the loaded dataset2023
Cvs CaremarkCONTRACT ADMINISTRATOR$1,877,944not reported in the loaded dataset2023
Lyra Health, Inc.CONTRACT ADMINISTRATOR$1,348,524not reported in the loaded dataset2023
Harvard Pilgrim Health CareCONTRACT ADMINISTRATOR$1,140,399not reported in the loaded dataset2023
Humana Inc.CONTRACT ADMINISTRATOR$436,161not reported in the loaded dataset2023
SelecthealthCONTRACT ADMINISTRATOR$148,552not reported in the loaded dataset2023
Optumhealth Care Solutions, LLCCONTRACT ADMINISTRATOR$25,909not reported in the loaded dataset2023

Related Form 5500 pages