Canon Medical Systems Usa, Inc. Self-Funded Short-Term Disability Benefit Plan — Form 5500 plan (Canon Medical Systems Usa, 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, Canon Medical Systems Usa, Inc. Self-Funded Short-Term Disability Benefit Plan is a benefit plan reported by Canon Medical Systems Usa, Inc. under EIN 68-0178440 and plan number 507. The latest loaded filing year is 2023. The filing reports 549 participants and $2,577,246 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$2.2MPlan net assets, end of year$2,242,384
Participants549Covered participants reported
Assets / participant$4.7KComputed: assets ÷ participants$4,694 (computed)
Provider compensation$13.1K1 Schedule C provider row(s)$13,125
Plan sponsor
Canon Medical Systems Usa, Inc.
EIN
68-0178440
Plan number
507
Plan type
2
Location
Tustin, CA
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023549H, C20241014181614NAL0013729235001
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)$2.6M total assets
Net assets$2.2MLiabilities$334.9K
Money in vs. money out
Total income / additions$597.9K
Total expenses$631.7K
Benefits paid / distributions$618.6K
Contributions
EmployerNot reported
Participant$597.9K
Full reported line items

Net assets

Total assets (EOY)
$2,577,246
Total liabilities (EOY)
$334,862
Net assets (EOY)
$2,242,384
Net assets (BOY)
$2,276,180

Income & contributions

Participant contributions
$597,924
Total contributions
$597,924
Total income / additions
$597,924

Expenses & distributions

Benefits paid
$618,595
Administrative expenses
$13,125
Total expenses
$631,720
Net increase / (decrease)
-$33,796
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.

Total expenses ÷ net assets28%Computed ratio
Benefits paid ÷ total income103%Computed ratio
Provider comp. ÷ net assets1%Computed ratio

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Miller Kaplan Arase LlpNONE$13,125not reported in the loaded dataset2023

Related Form 5500 pages