Ozarks Coca-Cola/Dr Pepper Bottling Company Group Health Plan — Form 5500 plan (Ozarks Coca-Cola/Dr Pepper Bottling Company)

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, Ozarks Coca-Cola/Dr Pepper Bottling Company Group Health Plan is a benefit plan reported by Ozarks Coca-Cola/Dr Pepper Bottling Company under EIN 44-0443840 and plan number 501. The latest loaded filing year is 2023. The filing reports 687 participants and $7,176,486 in end-of-year plan assets, where available in the loaded dataset.

Key reported metrics

Plan sponsor
Ozarks Coca-Cola/Dr Pepper Bottling Company
EIN
44-0443840
Plan number
501
Plan type
2
Location
Springfield, MO
Latest filing year
2023
Participants
687
End-of-year plan assets
$7,176,486

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023687H, C20241014163007NAL0045309936002

Reported financial statement (2023 · Schedule H)

Net assets

Total assets (EOY)
$7,176,486
Net assets (EOY)
$7,176,486
Net assets (BOY)
$8,025,743

Income & contributions

Employer contributions
$8,201,538
Participant contributions
$1,124,249
Total contributions
$10,241,622
Total income / additions
$10,632,461

Expenses & distributions

Benefits paid
$10,899,278
Administrative expenses
$582,440
Total expenses
$11,481,718
Net increase / (decrease)
-$849,257

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Med-Pay, Inc.CONTRACT ADMINISTRATOR$159,228$68,9362023
Valenz ClaimPPO WRAP NETWORK ACCESS$69,025not reported in the loaded dataset2023
Ucs Holdings Inc.PPO WRAP NETWORK ACCESS$62,473not reported in the loaded dataset2023
National Bill Audit Services LLCBILL REVIEW AUDIT FEES$43,081not reported in the loaded dataset2023
Zelis Claims Integrity IncPPO WRAP NETWORK ACCESS$30,561not reported in the loaded dataset2023
Premier Healthcare ExchangePPO WRAP NETWORK ACCESS$9,978not reported in the loaded dataset2023
Arkansas Managed Care OrganizationPPO NETWORK ACCESS FEES$9,977not reported in the loaded dataset2023
Warrior Cost Management LLCPPO WRAP NETWORK ACCESS$9,024not reported in the loaded dataset2023
Leaf HealthPERSCRIPTION ADMIN MKTG$0$7,6392023

Related Form 5500 pages