Elevance Health Veba Retiree Health Benefits Plan — Form 5500 plan (Ath Holding Company 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, Elevance Health Veba Retiree Health Benefits Plan is a benefit plan reported by Ath Holding Company LLC under EIN 11-3713086 and plan number 531. The latest loaded filing year is 2023. The filing reports 977 participants and $9,714,042 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Ath Holding Company LLC
EIN
11-3713086
Plan number
531
Plan type
2
Location
Indianapolis, IN
Latest filing year
2023
Participants
977
End-of-year plan assets
$9,714,042

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023977H, C20241015205306NAL0029652641001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$9,714,042
Total liabilities (EOY)
$1,752,374
Net assets (EOY)
$7,961,668
Net assets (BOY)
$8,563,706

Income & contributions

Employer contributions
$42,298
Participant contributions
$1,148,765
Total contributions
$1,191,063
Total income / additions
$2,455,509

Expenses & distributions

Benefits paid
$2,864,918
Administrative expenses
$192,629
Total expenses
$3,057,547
Net increase / (decrease)
-$602,038

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Northern TrustTRUSTEE$21,625not reported in the loaded dataset2023

Related Form 5500 pages