Amiya LLC Self Funded Medical Reimbursement Plan — Form 5500 plan (Amiya LLC)
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, Amiya LLC Self Funded Medical Reimbursement Plan is a benefit plan reported by Amiya LLC under EIN 27-0870524 and plan number 501. The latest loaded filing year is 2023. The filing reports 5 participants and $5,934 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Amiya LLC
- EIN
- 27-0870524
- Plan number
- 501
- Plan type
- 2
- Location
- Kenmore, WA
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 5 | I | 20250717185803NAL0001459106001 |
Reported financial statement
Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.
Full reported line items
Net assets
- Total assets (EOY)
- $5,934
- Net assets (EOY)
- $5,934
- Net assets (BOY)
- $0
Income & contributions
- Participant contributions
- $11,575
- Total income / additions
- $11,736
Expenses & distributions
- Benefits paid
- $782
- Administrative expenses
- $5,020
- Total expenses
- $5,802
- Net increase / (decrease)
- $5,934
Reported ratios
Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.
Service provider compensation (Schedule C)
No Schedule C service provider compensation is loaded for this plan yet.