Belleville Shoe Manufacturing Co. Group Medical Plan — Form 5500 plan (Belleville Shoe Manufacturing 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, Belleville Shoe Manufacturing Co. Group Medical Plan is a benefit plan reported by Belleville Shoe Manufacturing Co. under EIN 37-0173680 and plan number 502. The latest loaded filing year is 2023. The filing reports 483 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Belleville Shoe Manufacturing Co.
- EIN
- 37-0173680
- Plan number
- 502
- Plan type
- 2
- Location
- Belleville, IL
- Latest filing year
- 2023
- Participants
- 483
- End-of-year plan assets
- not reported in the loaded dataset
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 483 | C | 20241009160411NAL0009386435001 |
Reported financial statement
This plan is loaded, but Schedule H / I financial-statement detail is not present for it in the current loaded dataset.
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| United Healthcare Services, Inc. | CLAIMS PROCESSOR | $315,317 | $0 | 2023 |
| Digital Insurance LLC | BROKER | $39,502 | not reported in the loaded dataset | 2023 |
| Wex Health, Inc. | 3RD PARTY | $4,172 | not reported in the loaded dataset | 2023 |