Fort Wayne Orthopaedics, LLC Health & Welfare Plan

Form 5500 filing data for plan year 2025.

Plan Snapshot

  • Plan Sponsor: Fort Wayne Orthopaedics, LLC
  • Sponsor EIN: 351893082
  • Sponsor Address: PO BOX 2526, FORT WAYNE, IN, 468012526
  • Plan Type: Health & Welfare
  • Plan Number: 501
  • Total Participants: 154
  • Total Assets: $49,532

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.
2025154$49,532$0$0
2024152$177,697$1.7M$535,271
2023151$3,615$1.7M$552,990
2022151$162,193$1.5M$514,342

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
AUTOMATED GROUP ADMINISTRATION, INCOther Service Provider$65,021—$65,021
MARKETING DIVERSIFIED SERVICES, INCOther Service Provider$10,794—$10,794
MED PARTNERS/THREE RIVERS PREFERREDOther Service Provider$9,708—$9,708
CHAR LEE CORPOther Service Provider$6,732—$6,732
TELEDOC HEALTH INC.Other Service Provider$6,588—$6,588

Plan Fees & Expenses

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

  • Total Service Provider Fees: $98,843
  • Estimated Expense Ratio: 199.554% 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
2025$2,348,302$30,292$65,021——
2024$92,796$30,006$62,790——
2023$88,199$29,699$58,500——
2022$83,782$27,828$55,954——

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