Group Life Accident & Health Insurance — Form 5500 plan (Ergon, 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, Group Life Accident & Health Insurance is a benefit plan reported by Ergon, Inc under EIN 64-0503423 and plan number 501. The latest loaded filing year is 2023. The filing reports 2,805 participants and not reported in the loaded dataset in end-of-year plan assets, where available in the loaded dataset.
Form 5500 plan profile · 2023
Key reported metrics
Net assets (EOY)Not reported
Participants2.8KCovered participants reported2,805
Assets / participantNot reported
Provider compensation$717.7K1 Schedule C provider row(s)$717,732
- Plan sponsor
- Ergon, Inc
- EIN
- 64-0503423
- Plan number
- 501
- Plan type
- 2
- Location
- Jackson, MS
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 2,805 | C | 20240729161405NAL0011225699001 |
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)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Blue Cross Blue Shield Of Ms | CLAIMS ADMINISTRATOR | $717,732 | not reported in the loaded dataset | 2023 |