Hackley Community Care Center Group Benefits Plan — Form 5500 plan (Hackley Community Care Center Inc)
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, Hackley Community Care Center Group Benefits Plan is a benefit plan reported by Hackley Community Care Center Inc under EIN 38-3014011 and plan number 501. The latest loaded filing year is 2023. The filing reports 268 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)Not reported
Participants268Covered participants reported
Assets / participantNot reported
Provider compensation$114.4K4 Schedule C provider row(s)$114,434
- Plan sponsor
- Hackley Community Care Center Inc
- EIN
- 38-3014011
- Plan number
- 501
- Plan type
- 2
- Location
- Muskegon, MI
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 268 | C | 20240703103508NAL0006265185005 |
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 |
|---|---|---|---|---|
| Roxanna Dieterle | INSURANCE AGENT | $41,640 | not reported in the loaded dataset | 2023 |
| Gallagher Benefit Services Inc | BROKER | $32,117 | not reported in the loaded dataset | 2023 |
| Douglas Derks | INSURANCE AGENT | $25,817 | not reported in the loaded dataset | 2023 |
| Blue Cross And Blue Shield Of Mi | TPA | $14,860 | $0 | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Hackley Community Care Center Inc
- 2023 Form 5500 filing
- Form 5500 filings in MI
- 401(k) and benefit plan filings in Muskegon, MI
- Roxanna Dieterle — Schedule C compensation
- Gallagher Benefit Services Inc — Schedule C compensation
- Douglas Derks — Schedule C compensation
- Blue Cross And Blue Shield Of Mi — Schedule C compensation