Community Health Net 403b Retirement Plan — Form 5500 plan (Community Health Net)

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, Community Health Net 403b Retirement Plan is a benefit plan reported by Community Health Net under EIN 25-1490791 and plan number 001. The latest loaded filing year is 2023. The filing reports 154 participants and $3,630,859 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$3.6MPlan net assets, end of year$3,630,859
Participants154Covered participants reported
Assets / participant$23.6KComputed: assets ÷ participants$23,577 (computed)
Provider compensation$44.9K4 Schedule C provider row(s)$44,898
Plan sponsor
Community Health Net
EIN
25-1490791
Plan number
001
Plan type
2
Location
Erie, PA
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023154H, C20250114071431NAL0010741251001
Schedule H · 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)$3.6M total assets
Net assets$3.6MLiabilities$0
Money in vs. money out
Total income / additions$717.4K
Total expenses$289.3K
Benefits paid / distributions$261.3K
Contributions
Employer$46.2K
Participant$224.3K
Full reported line items

Net assets

Total assets (EOY)
$3,630,859
Total liabilities (EOY)
$0
Net assets (EOY)
$3,630,859
Net assets (BOY)
$3,202,733

Income & contributions

Employer contributions
$46,189
Participant contributions
$224,317
Total contributions
$293,244
Total income / additions
$717,432

Expenses & distributions

Benefits paid
$261,261
Administrative expenses
$28,045
Total expenses
$289,306
Net increase / (decrease)
$428,126
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.

Contribution share (employer vs. participant)
Employer 17%Participant 83%
Total expenses ÷ net assets8%Computed ratio
Benefits paid ÷ total income36%Computed ratio
Provider comp. ÷ net assets1%Computed ratio

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Empower Annuity Insurance Company ORECORDKEEPER$27,332$02023
Lpl Financial LLCBROKER/ADVISOR$0$13,6572023
National Professional Planning GrouCONTRACT ADMIN$225$2,7972023
Empower Advistory Group LLCINVESTMENT MGMT$887not reported in the loaded dataset2023

Related Form 5500 pages