Ici Benefits Consortium Health Plan — Form 5500 plan (Ici Benefits Consortium)
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, Ici Benefits Consortium Health Plan is a benefit plan reported by Ici Benefits Consortium under EIN 84-3411649 and plan number 501. The latest loaded filing year is 2023. The filing reports 736 participants and $7,970,680 in end-of-year plan assets, where available in the loaded dataset.
Key reported metrics
- Plan sponsor
- Ici Benefits Consortium
- EIN
- 84-3411649
- Plan number
- 501
- Plan type
- 3
- Location
- Indianapolis, IN
- Latest filing year
- 2023
- Participants
- 736
- End-of-year plan assets
- $7,970,680
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 736 | H, C | 20241011134443NAL0012554035001 |
Reported financial statement (2023 · Schedule H)
Net assets
- Total assets (EOY)
- $7,970,680
- Total liabilities (EOY)
- $2,342,933
- Net assets (EOY)
- $5,627,747
- Net assets (BOY)
- $5,385,388
Income & contributions
- Employer contributions
- $10,469,869
- Participant contributions
- $49,969
- Total contributions
- $10,519,838
- Total income / additions
- $10,848,721
Expenses & distributions
- Benefits paid
- $9,739,997
- Administrative expenses
- $866,365
- Total expenses
- $10,606,362
- Net increase / (decrease)
- $242,359
Service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. | Year |
|---|---|---|---|---|
| Umr, Inc. | CLAIMS PROCESSING | $430,517 | $4,340 | 2023 |
| Gallagher Benefit Services | PLAN ADMINISTRATOR / ACT | $165,000 | $0 | 2023 |
| Bose Mckinney & Evans Llp | LEGAL SERVICES | $69,076 | not reported in the loaded dataset | 2023 |
| Save On Sp, Llp | NONE | $48,749 | not reported in the loaded dataset | 2023 |
| Nonprofit Financial Solutions | ACCOUNTANT | $29,036 | not reported in the loaded dataset | 2023 |
| Brady Ware & Schoenfeld Inc | AUDIT/TAX SERVICES | $21,280 | not reported in the loaded dataset | 2023 |
| Rx Benefits | NONE | $8,572 | not reported in the loaded dataset | 2023 |
| Perpetual LLC | BROKER | $2,173 | not reported in the loaded dataset | 2023 |
Related Form 5500 pages
- All Form 5500 plans for Ici Benefits Consortium
- 2023 Form 5500 filing
- Form 5500 filings in IN
- 401(k) and benefit plan filings in Indianapolis, IN
- Umr, Inc. — Schedule C compensation
- Gallagher Benefit Services — Schedule C compensation
- Bose Mckinney & Evans Llp — Schedule C compensation
- Save On Sp, Llp — Schedule C compensation
- Nonprofit Financial Solutions — Schedule C compensation
- Brady Ware & Schoenfeld Inc — Schedule C compensation
- Rx Benefits — Schedule C compensation
- Perpetual LLC — Schedule C compensation