Medben Employee Prescription Welfare Benefit Plan — Form 5500 plan (Medical Benefits Mutual Life Insurance Co.)
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, Medben Employee Prescription Welfare Benefit Plan is a benefit plan reported by Medical Benefits Mutual Life Insurance Co. under EIN 31-4210910 and plan number 502. The latest loaded filing year is 2023. The filing reports 121 participants and $2,204 in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)-$10.8KPlan net assets, end of year-$10,827
Participants121Covered participants reported
Assets / participant$18Computed: assets ÷ participants$18 (computed)
Provider compensationNone reported
- Plan sponsor
- Medical Benefits Mutual Life Insurance Co.
- EIN
- 31-4210910
- Plan number
- 502
- Plan type
- 2
- Location
- Newark, OH
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 121 | H | 20241015094101NAL0048699904001 |
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)$2.2K total assets
Net assets-$10.8KLiabilities$13K
Full reported line items
Net assets
- Total assets (EOY)
- $2,204
- Total liabilities (EOY)
- $13,031
- Net assets (EOY)
- -$10,827
- Net assets (BOY)
- -$3,381
Income & contributions
- Employer contributions
- $130,917
- Total contributions
- $130,917
- Total income / additions
- $130,917
Expenses & distributions
- Benefits paid
- $138,363
- Administrative expenses
- $0
- Total expenses
- $138,363
- Net increase / (decrease)
- -$7,446
Service provider compensation (Schedule C)
No Schedule C service provider compensation is loaded for this plan yet.