Mississippi Valley Regional Blood Center Health Presc Plan Hmo — Form 5500 plan (Impactlife)
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, Mississippi Valley Regional Blood Center Health Presc Plan Hmo is a benefit plan reported by Impactlife under EIN 42-0859501 and plan number 505. The latest loaded filing year is 2023. The filing reports 413 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
Participants413Covered participants reported
Assets / participantNot reported
Provider compensation$1.1M1 Schedule C provider row(s)$1,136,906
- Plan sponsor
- Impactlife
- EIN
- 42-0859501
- Plan number
- 505
- Plan type
- 2
- Location
- Davenport, IA
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 413 | C | 20240730103952NAL0033963600001 |
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 |
|---|---|---|---|---|
| Express Scripts, Inc. | VENDOR | $1,136,906 | not reported in the loaded dataset | 2023 |