Adrian Retiree Medical & Prescription Drug Plan Health & Welfare Plan

Form 5500 filing data for plan year 2024.

Plan Snapshot

  • Plan Sponsor: Adrian Retiree Medical & Prescription Drug Plan
  • Sponsor EIN: 331196416
  • Sponsor Address: 4084 S PITTSFORD RD, PITTSFORD, MI, 492719818
  • Plan Type: Health & Welfare
  • Plan Number: 550
  • Total Participants: 46
  • Total Assets: $1.2M

Key Plan Design Features

  • Auto-Enrollment: No
  • Auto-Escalation: No
  • Allows Roth Contributions: No
  • Participant Loans: No
  • Participant-Directed Investments: No
  • ERISA Section 404(c) Fiduciary Safe Harbor: No

Plan Financials by Year

YearParticipantsTotal AssetsEmployer Contrib.Employee Contrib.
202446$1.2M$0$0
202354$1.5M$0$0
202264$1.8M$0$0

Service Providers (Schedule C)

Vendors paid $5,000 or more for services to the plan, ranked by total compensation (direct + indirect fees).

Provider Name Role Direct Compensation Indirect Compensation Total Fees
SHEA & ASSOCIATES ADVISORY AND ACCTAuditor——$0

Plan Fees & Expenses

Annual service provider fees and administrative expenses sourced from DOL Form 5500 filings.

  • Total Service Provider Fees: $0

Historical Administrative Expenses

Breakdown of administrative expense categories reported on Form 5500 filings.

Year Total Admin Expenses Investment Mgmt Fees Contract Admin Fees IQPA Audit Fees Professional Fees
2024$32,538$15,218———
2023$29,359$12,993———
2022$30,089$10,208$14,281—$5,600

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