Copic Insurance Company Flexible Benefit Plan — Form 5500 plan (Copic Trust)
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, Copic Insurance Company Flexible Benefit Plan is a benefit plan reported by Copic Trust under EIN 84-6170618 and plan number 502. The latest loaded filing year is 2023. The filing reports 127 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
Participants127Covered participants reported
Assets / participantNot reported
Provider compensation$1M3 Schedule C provider row(s)$1,035,473
- Plan sponsor
- Copic Trust
- EIN
- 84-6170618
- Plan number
- 502
- Plan type
- 2
- Location
- Denver, CO
- Latest filing year
- 2023
Form 5500 filing history
| Filing year | Participants | Schedules | Filing |
|---|---|---|---|
| 2023 | 127 | C | 20241015171819NAL0058916034001 |
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 |
|---|---|---|---|---|
| Optum Rx Inc | PHARMACY BENEFIT MANAGEME | $819,362 | $1,181 | 2023 |
| Umr Inc. | CLAIMS PROCESSING | $148,378 | $726 | 2023 |
| Copic Insurance Company | BROKER | $65,826 | $0 | 2023 |