Confederated Tribes Of Grand Ronde Employee Health Plan — Form 5500 plan (Confederated Tribes Of Grand Ronde Employee Welfare Benefits Trust)

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, Confederated Tribes Of Grand Ronde Employee Health Plan is a benefit plan reported by Confederated Tribes Of Grand Ronde Employee Welfare Benefits Trust under EIN 20-0805405 and plan number 502. The latest loaded filing year is 2023. The filing reports 1,393 participants and $18,118,246 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Confederated Tribes Of Grand Ronde Employee Welfare Benefits Trust
EIN
20-0805405
Plan number
502
Plan type
2
Location
Grand Ronde, OR
Latest filing year
2023
Participants
1,393
End-of-year plan assets
$18,118,246

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
20231,393H, C20240910112301NAL0012964498001

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$18,118,246
Total liabilities (EOY)
$1,888,363
Net assets (EOY)
$16,229,883
Net assets (BOY)
$14,757,299

Income & contributions

Employer contributions
$19,331,200
Participant contributions
$1,493,889
Total contributions
$20,825,089
Total income / additions
$24,746,405

Expenses & distributions

Benefits paid
$22,272,490
Administrative expenses
$1,001,331
Total expenses
$23,273,821
Net increase / (decrease)
$1,472,584

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Shasta Administrative ServicesCONTRACT ADMINISTRATOR$909,666not reported in the loaded dataset2023
Gallagher Benefit Services, Inc.CONSULTANT$27,000not reported in the loaded dataset2023
Optumrx/Catamaran/Restat LLCCONTRACT ADMINISTRATOR$20,260not reported in the loaded dataset2023
Redw, LLCAUDITOR$17,000not reported in the loaded dataset2023
Allegiance Benefit Plan ManagementCONTRACT ADMINISTRATOR$12,925not reported in the loaded dataset2023
Rsm Us LlpAUDITOR$6,600not reported in the loaded dataset2023

Related Form 5500 pages