Family Health/La Clinica 401(k) Plan

Form 5500 filing data for plan year 2024.

Plan Snapshot

  • Plan Sponsor: Family Health/La Clinica
  • Sponsor EIN: 391181480
  • Sponsor Address: 400 SOUTH TOWNLINE ROAD, WAUTOMA, WI, 54982
  • Plan Type: 401(k)
  • Total Participants: 182
  • Total Assets: $7.7M

Key Plan Design Features

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

Plan Financials by Year

YearParticipantsTotal AssetsEmployer Contrib.Employee Contrib.
2024182$7.7M$398,568$827,895
2023203$6.5M$412,448$811,891
2022169$5.3M$377,814$740,791

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
KERBERROSE WEALTH MANAGEMENT LLCInvestment Advisor$17,325$17,325
EMPOWER ANNUITY INS CO OF AMERICARecordkeeper$13,007$13,007
THE RETIREMENT ADVANTAGE INCOther Service Provider$7,668$7,668

Plan Fees & Expenses

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

  • Total Service Provider Fees: $38,000
  • Estimated Expense Ratio: 0.493% of plan assets

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$55,644$55,644
2023$30,477$30,477
2022$26,320$26,320

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