Ellis Hospital Employee Dental Plan — Form 5500 plan (Ellis Hospital)
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, Ellis Hospital Employee Dental Plan is a benefit plan reported by Ellis Hospital under EIN 14-1338428 and plan number 508. The latest loaded filing year is 2023. The filing reports 1,393 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)Not reported
Participants1.4KCovered participants reported1,393
Assets / participantNot reported
Provider compensation$104.1K2 Schedule C provider row(s)$104,069
- Plan sponsor
- Ellis Hospital
- EIN
- 14-1338428
- Plan number
- 508
- Plan type
- 2
- Location
- Schenectady, NY
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 1,393 | C | 20240927104208NAL0001155443001 |
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)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Delta Dental | CLAIM ADMINISTRATOR | $93,949 | not reported in the loaded dataset | 2023 |
| Nicholas J. Marino | BROKER | $10,120 | not reported in the loaded dataset | 2023 |