Henise Tire Service Inc Group Medical Plan — Form 5500 plan (Henise Tire Service, Inc.)
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, Henise Tire Service Inc Group Medical Plan is a benefit plan reported by Henise Tire Service, Inc. under EIN 23-1517061 and plan number 501. The latest loaded filing year is 2023. The filing reports 77 participants and $87,431 in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)$24KPlan net assets, end of year$23,958
Participants77Covered participants reported
Assets / participant$1.1KComputed: assets ÷ participants$1,135 (computed)
Provider compensation$44.3K4 Schedule C provider row(s)$44,346
- Plan sponsor
- Henise Tire Service, Inc.
- EIN
- 23-1517061
- Plan number
- 501
- Plan type
- 2
- Location
- Cleona, PA
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 77 | I, C | 20240724074253NAL0007970515001 |
Schedule I · 2023
Reported financial statement
Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.
Reported balance (end of year)$87.4K total assets
Net assets$24KLiabilities$63.5K
Full reported line items
Net assets
- Total assets (EOY)
- $87,431
- Total liabilities (EOY)
- $63,473
- Net assets (EOY)
- $23,958
- Net assets (BOY)
- -$58,058
Income & contributions
- Employer contributions
- $654,826
- Participant contributions
- $185,780
- Total income / additions
- $842,119
Expenses & distributions
- Benefits paid
- $427,893
- Administrative expenses
- $5,238
- Total expenses
- $760,103
- Net increase / (decrease)
- $82,016
Computed from reported fields
Reported ratios
Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.
78%22%
Employer 78%Participant 22%
Total expenses ÷ net assets3173%Computed ratio
Benefits paid ÷ total income51%Computed ratio
Provider comp. ÷ net assets185%Computed ratio
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| The Benecon Group | BROKER | $17,377 | not reported in the loaded dataset | 2023 |
| Yocum & Company, Inc, | BROKER | $17,052 | not reported in the loaded dataset | 2023 |
| Capital Bluecross | CARRIER | $5,238 | not reported in the loaded dataset | 2023 |
| Connectcare3, LLC | PATIENT ADVOCATE | $4,679 | not reported in the loaded dataset | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Henise Tire Service, Inc.
- 2023 Form 5500 filing
- Form 5500 filings in PA
- 401(k) and benefit plan filings in Cleona, PA
- The Benecon Group — Schedule C compensation
- Yocum & Company, Inc, — Schedule C compensation
- Capital Bluecross — Schedule C compensation
- Connectcare3, LLC — Schedule C compensation