Plan5500

My 401(K) Retirement Plan (Formerly Avera Health Program Pension Plan) — Form 5500 plan (Avera Health Plans, 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, My 401(K) Retirement Plan (Formerly Avera Health Program Pension Plan) is a benefit plan reported by Avera Health Plans, Inc. under EIN 46-0451539 and plan number 002. The latest loaded filing year is 2023. The filing reports 408 participants and $21,659,749 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$21.7MPlan net assets, end of year$21,659,749
Participants408Covered participants reported
Assets / participant$53.1KComputed: assets ÷ participants$53,088 (computed)
Provider compensation$16.3K2 Schedule C provider row(s)$16,263
Plan sponsor
Avera Health Plans, Inc.
EIN
46-0451539
Plan number
002
Plan type
2
Location
Sioux Falls, SD
Latest filing year
2023
How to read this plan profile
  • Net assets = total assets minus total liabilities, end of year (Schedule H/I).
  • Assets / participant is computed (assets ÷ reported participants) — a ratio, not a filed figure.
  • Schedule chips (Sch H / I / C) show which schedules each filing includes.
  • Fields a filing did not report are labeled not reported in the loaded dataset — never estimated.
  • Figures are reported as filed, in whole dollars; verify against the official DOL/EBSA record before relying on them.
EFAST2 filings

Form 5500 filing history

Each loaded annual filing for this plan. Open one for its full reported snapshot.

  1. 2023
    408 participants · 2Sch HSch C
    View filing →
Schedule H · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Reported balance (end of year)$21.7M total assets
Net assets$21.7MLiabilities$0
Money in vs. money out
Total income / additions$5.6M
Total expenses$4.1M
Benefits paid / distributions$4M
Contributions
Employer$813.2K
Participant$1.3M
Full reported line items

Net assets

Total assets (EOY)
$21,659,749
Total liabilities (EOY)
$0
Net assets (EOY)
$21,659,749
Net assets (BOY)
$20,099,019

Income & contributions

Employer contributions
$813,168
Participant contributions
$1,331,591
Total contributions
$2,164,134
Total income / additions
$5,627,739

Expenses & distributions

Benefits paid
$4,039,612
Administrative expenses
$16,623
Total expenses
$4,067,009
Net increase / (decrease)
$1,560,730
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Contribution share (employer vs. participant)
Employer 38%Participant 62%
Total expenses ÷ net assets19%Computed ratio
Benefits paid ÷ total income72%Computed ratio
Provider comp. ÷ net assets0%Computed ratio
Schedule C

Service provider compensation

Reported direct + indirect compensation per provider, ranked. Bars show relative scale.

  1. 1
    Fidelity Investments Institutional$10.8K
    RECORDKEEPER · Direct $10.8K · Indirect $0
  2. 2
    Strategic Advisors, Inc.$5.4K
    ADVISOR · Direct $5.4K

What to inspect next

Frequently asked questions

Who sponsors the My 401(K) Retirement Plan (Formerly Avera Health Program Pension Plan)?
My 401(K) Retirement Plan (Formerly Avera Health Program Pension Plan) is reported as sponsored by Avera Health Plans, Inc. (EIN 46-0451539, plan number 002) in public Form 5500 filings.
What is the most recent Form 5500 filing year for My 401(K) Retirement Plan (Formerly Avera Health Program Pension Plan)?
The latest Form 5500 filing year loaded for My 401(K) Retirement Plan (Formerly Avera Health Program Pension Plan) is 2023.
How many participants does My 401(K) Retirement Plan (Formerly Avera Health Program Pension Plan) report?
My 401(K) Retirement Plan (Formerly Avera Health Program Pension Plan) reports 408 participants in its latest loaded Form 5500 filing.
What are the reported plan assets for My 401(K) Retirement Plan (Formerly Avera Health Program Pension Plan)?
My 401(K) Retirement Plan (Formerly Avera Health Program Pension Plan) reports $21,659,749 in end-of-year plan assets in its latest loaded Form 5500 filing.
Form 5500 terms, in plain English
Form 5500
The annual report most U.S. employee benefit plans file with the Department of Labor through the EFAST2 system. It documents the plan sponsor, participants, finances, and service-provider compensation.
Schedule H
The financial statement for larger plans (generally 100+ participants): assets, liabilities, net assets, income, expenses, and the net change.
Schedule I
The condensed financial statement for smaller plans, covering the same kinds of figures in less detail.
Schedule C
Reports compensation paid to the plan’s service providers — both direct and indirect.
Net assets
Total assets minus total liabilities at the end of the year — what the plan holds for participants.
Employer / participant contributions
Money contributed to the plan by the employer and by participants during the year.

Figures are reported as filed and may contain errors or omissions. Verify against the official DOL/EBSA record before relying on any value.

Related Form 5500 pages