Src Benefits Programs Trust Health Insurance Fund — Form 5500 plan (Src Holdings Corporation)
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, Src Benefits Programs Trust Health Insurance Fund is a benefit plan reported by Src Holdings Corporation under EIN 43-1274934 and plan number 502. The latest loaded filing year is 2023. The filing reports 1,155 participants and $97,649 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Src Holdings Corporation
- EIN
- 43-1274934
- Plan number
- 502
- Plan type
- 2
- Location
- Springfield, MO
- Latest filing year
- 2023
- Participants
- 1,155
- End-of-year plan assets
- $97,649
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 1,155 | H, C | 20241111144505NAL0032267378001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $97,649
- Total liabilities (EOY)
- $1,329,076
- Net assets (EOY)
- -$1,231,427
- Net assets (BOY)
- -$155,874
Income & contributions
- Employer contributions
- $9,198,295
- Participant contributions
- $2,065,046
- Total contributions
- $11,388,800
- Total income / additions
- $11,388,800
Expenses & distributions
- Benefits paid
- $11,723,683
- Administrative expenses
- $740,670
- Total expenses
- $12,464,353
- Net increase / (decrease)
- -$1,075,553
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Med-Pay, Inc. | CONTRACT ADMINISTRATOR | $196,506 | $106,851 | 2023 |
| Payd Health | SPECIALTY RX ADMIN FEES | $74,240 | not reported in the loaded dataset | 2023 |
| Zelis Claims Integrity Inc | PPO NETWORK ACCESS FEES | $56,366 | not reported in the loaded dataset | 2023 |
| Healthlink | PPO NETWORK ACCESS FEES | $49,356 | not reported in the loaded dataset | 2023 |
| Mercy Corporate Health & Wellness | WELLNESS COORDINATOR | $36,388 | not reported in the loaded dataset | 2023 |
| Warrier Cost Management LLC | PPO NETWORK ACCESS FEES | $30,025 | not reported in the loaded dataset | 2023 |
| Tellus Wellness, LLC | WELLNESS COORDINATOR | $25,518 | not reported in the loaded dataset | 2023 |
| One America | EMPLOYEE ASSISTANCE PROGR | $16,038 | not reported in the loaded dataset | 2023 |
| Valenz Claim | PPO NETWORK ACCESS FEES | $15,685 | not reported in the loaded dataset | 2023 |
| Leaf Health | PRESCRIPTION ADMIN MKTING | $0 | $13,777 | 2023 |
| Reliant Health Partners LLC | PPO NETWORK ACCESS FEES | $9,688 | not reported in the loaded dataset | 2023 |
| Mercy Health Springfield Communitie | ONLINE DOCTOR/MEDICAL | $9,586 | not reported in the loaded dataset | 2023 |
| National Bill Audit Services LLC | CLAIM AUDIT FEES | $6,617 | not reported in the loaded dataset | 2023 |
| Mercy Corporate Health & Wellness | FLU SHOTS | $6,412 | not reported in the loaded dataset | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Src Holdings Corporation
- 2023 Form 5500 filing
- Form 5500 filings in MO
- 401(k) and benefit plan filings in Springfield, MO
- Med-Pay, Inc. — Schedule C compensation
- Payd Health — Schedule C compensation
- Zelis Claims Integrity Inc — Schedule C compensation
- Healthlink — Schedule C compensation
- Mercy Corporate Health & Wellness — Schedule C compensation
- Warrier Cost Management LLC — Schedule C compensation
- Tellus Wellness, LLC — Schedule C compensation
- One America — Schedule C compensation
- Valenz Claim — Schedule C compensation
- Leaf Health — Schedule C compensation
- Reliant Health Partners LLC — Schedule C compensation
- Mercy Health Springfield Communitie — Schedule C compensation
- National Bill Audit Services LLC — Schedule C compensation