Plan5500

Mavis Tire Supply Health Plan — Form 5500 plan (Mavis Tire Supply LLC)

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, Mavis Tire Supply Health Plan is a benefit plan reported by Mavis Tire Supply LLC under EIN 45-5259604 and plan number 502. The latest loaded filing year is 2023. The filing reports 3,147 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
Mavis Tire Supply LLC
EIN
45-5259604
Plan number
502
Plan type
2
Location
White Plains, NY
Latest filing year
2023
Participants
3,147
End-of-year plan assets
not reported in the loaded dataset

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
20233,147C20241218142635NAL0002382291001

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)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Cvs Caremarknot reported in the loaded dataset$13,219,197$212,7002023
Luminare Health Benefits, Inc.not reported in the loaded dataset$2,526,253not reported in the loaded dataset2023
Empire Healthchoice Assurance, Inc.not reported in the loaded dataset$472,785not reported in the loaded dataset2023
Teladocnot reported in the loaded dataset$58,292not reported in the loaded dataset2023
Acs - A Xerox Companynot reported in the loaded dataset$17,115not reported in the loaded dataset2023
Heathcare Bluebooknot reported in the loaded dataset$11,543not reported in the loaded dataset2023

Related Form 5500 pages