Adrian Retiree Medical & Prescription Drug Plan — Form 5500 plan (Adrian Retiree Medical & Prescription Drug Plan)

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, Adrian Retiree Medical & Prescription Drug Plan is a benefit plan reported by Adrian Retiree Medical & Prescription Drug Plan under EIN 33-1196416 and plan number 550. The latest loaded filing year is 2023. The filing reports 54 participants and $1,475,530 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$1.5MPlan net assets, end of year$1,474,050
Participants54Covered participants reported
Assets / participant$27.3KComputed: assets ÷ participants$27,325 (computed)
Provider compensationNone reported
Plan sponsor
Adrian Retiree Medical & Prescription Drug Plan
EIN
33-1196416
Plan number
550
Plan type
2
Location
Pittsford, MI
Latest filing year
2023
How to read this plan profile
  • Net assets = total assets minus total liabilities, end of year (Schedule H/I).
  • Assets / participant is computed (assets ÷ reported participants) — a ratio, not a filed figure.
  • Schedule chips (Sch H / I / C) show which schedules each filing includes.
  • Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
  • Figures are reported as filed, in whole dollars; verify against the official DOL/EBSA record before relying on them.
EFAST2 filings

Form 5500 filing history

Each loaded annual filing for this plan. Open one for its full reported snapshot.

  1. 2023
    54 participants · 2Sch H
    View filing →
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)$1.5M total assets
Net assets$1.5MLiabilities$1.5K
Money in vs. money out
Total income / additions-$10.2K
Total expenses$353.5K
Benefits paid / distributions$324.2K
Full reported line items

Net assets

Total assets (EOY)
$1,475,530
Total liabilities (EOY)
$1,480
Net assets (EOY)
$1,474,050
Net assets (BOY)
$1,837,759

Income & contributions

Total contributions
$0
Total income / additions
-$10,186

Expenses & distributions

Benefits paid
$324,164
Administrative expenses
$29,359
Total expenses
$353,523
Net increase / (decrease)
-$363,709
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.

Total expenses ÷ net assets24%Computed ratio
Schedule C

Service provider compensation

Reported direct + indirect compensation per provider, ranked. Bars show relative scale.

No Schedule C service provider compensation is loaded for this plan yet.

What to inspect next

Frequently asked questions

Who sponsors the Adrian Retiree Medical & Prescription Drug Plan?
Adrian Retiree Medical & Prescription Drug Plan is reported as sponsored by Adrian Retiree Medical & Prescription Drug Plan (EIN 33-1196416, plan number 550) in public Form 5500 filings.
What is the most recent Form 5500 filing year for Adrian Retiree Medical & Prescription Drug Plan?
The latest Form 5500 filing year loaded for Adrian Retiree Medical & Prescription Drug Plan is 2023.
How many participants does Adrian Retiree Medical & Prescription Drug Plan report?
Adrian Retiree Medical & Prescription Drug Plan reports 54 participants in its latest loaded Form 5500 filing.
What are the reported plan assets for Adrian Retiree Medical & Prescription Drug Plan?
Adrian Retiree Medical & Prescription Drug Plan reports $1,475,530 in end-of-year plan assets in its latest loaded Form 5500 filing.
Form 5500 terms, in plain English
Form 5500
The annual report most U.S. employee benefit plans file with the Department of Labor through the EFAST2 system. It documents the plan sponsor, participants, finances, and service-provider compensation.
Schedule H
The financial statement for larger plans (generally 100+ participants): assets, liabilities, net assets, income, expenses, and the net change.
Schedule I
The condensed financial statement for smaller plans, covering the same kinds of figures in less detail.
Schedule C
Reports compensation paid to the plan’s service providers — both direct and indirect.
Net assets
Total assets minus total liabilities at the end of the year — what the plan holds for participants.
Employer / participant contributions
Money contributed to the plan by the employer and by participants during the year.

Figures are reported as filed and may contain errors or omissions. Verify against the official DOL/EBSA record before relying on any value.

Related Form 5500 pages