Great Bay Distributors, Inc. Self-Funded Employee Benefit Plan — Form 5500 plan (Great Bay Distributors, 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, Great Bay Distributors, Inc. Self-Funded Employee Benefit Plan is a benefit plan reported by Great Bay Distributors, Inc. under EIN 59-1196133 and plan number 501. The latest loaded filing year is 2023. The filing reports 336 participants and $369,441 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Great Bay Distributors, Inc.
- EIN
- 59-1196133
- Plan number
- 501
- Plan type
- 2
- Location
- St. Petersburg, FL
- Latest filing year
- 2023
- Participants
- 336
- End-of-year plan assets
- $369,441
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 336 | H, C | 20250311151857NAL0017704993001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $369,441
- Total liabilities (EOY)
- $0
- Net assets (EOY)
- $369,441
- Net assets (BOY)
- $1,172,640
Income & contributions
- Employer contributions
- $1,307,470
- Participant contributions
- $1,459,946
- Total contributions
- $2,767,416
- Total income / additions
- $2,767,416
Expenses & distributions
- Benefits paid
- $3,165,363
- Administrative expenses
- $405,252
- Total expenses
- $3,570,615
- Net increase / (decrease)
- -$803,199
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Boon-Chapman | THIRD PARTY ADMIN | $131,787 | not reported in the loaded dataset | 2023 |
| Bevcap Management, LLC | PROGRAM MANAGEMENT | $114,240 | not reported in the loaded dataset | 2023 |
| Aetna - Ppo | INSURANCE PROVIDER | $73,326 | not reported in the loaded dataset | 2023 |
| Bevcap Health Protected Cell L | PROGRAM MANAGEMENT | $29,428 | not reported in the loaded dataset | 2023 |
| Retro Health, LLC | SERVICE PROVIDER | $25,375 | not reported in the loaded dataset | 2023 |
| Elixir Pharmacy | BENEFITS MANAGEMENT | $11,424 | not reported in the loaded dataset | 2023 |
| The Phia Group, LLC | DOCUMENT MANAGER | $9,860 | not reported in the loaded dataset | 2023 |
| 98point6 | SERVICE PROVIDER | $9,811 | not reported in the loaded dataset | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Great Bay Distributors, Inc.
- 2023 Form 5500 filing
- Form 5500 filings in FL
- 401(k) and benefit plan filings in St. Petersburg, FL
- Boon-Chapman — Schedule C compensation
- Bevcap Management, LLC — Schedule C compensation
- Aetna - Ppo — Schedule C compensation
- Bevcap Health Protected Cell L — Schedule C compensation
- Retro Health, LLC — Schedule C compensation
- Elixir Pharmacy — Schedule C compensation
- The Phia Group, LLC — Schedule C compensation
- 98point6 — Schedule C compensation