Claxton-Hepburn Medical Center Group Health Benefit Plan — Form 5500 plan (Claxton-Hepburn Medical Center)
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, Claxton-Hepburn Medical Center Group Health Benefit Plan is a benefit plan reported by Claxton-Hepburn Medical Center under EIN 15-0559686 and plan number 501. The latest loaded filing year is 2023. The filing reports 686 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
- Claxton-Hepburn Medical Center
- EIN
- 15-0559686
- Plan number
- 501
- Plan type
- 2
- Location
- Ogdensburg, NY
- Latest filing year
- 2023
- Participants
- 686
- End-of-year plan assets
- not reported in the loaded dataset
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 686 | C | 20251005075200NAL0002423713001 |
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 |
|---|---|---|---|---|
| Umr | ADMIN | $116,016 | not reported in the loaded dataset | 2023 |
| United Professional Advisors, LLC. | BROKER | $58,485 | not reported in the loaded dataset | 2023 |
| Encompass Benefit Consultants Inc | BROKER | $57,715 | not reported in the loaded dataset | 2023 |
| The Benecon Group, LLC | BROKER | $45,584 | not reported in the loaded dataset | 2023 |
| Connectcare3, LLC | PATIENT ADVOCATE | $14,641 | not reported in the loaded dataset | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Claxton-Hepburn Medical Center
- 2023 Form 5500 filing
- Form 5500 filings in NY
- 401(k) and benefit plan filings in Ogdensburg, NY
- Umr — Schedule C compensation
- United Professional Advisors, LLC. — Schedule C compensation
- Encompass Benefit Consultants Inc — Schedule C compensation
- The Benecon Group, LLC — Schedule C compensation
- Connectcare3, LLC — Schedule C compensation