# Tri State Urologic Services P.S.C Health & Welfare Plan
Source: https://planprovider.pro/companies/tri-state-urologic-services-p-s-c-611257391-501

> Tri State Urologic Services P.S.C's Health & Welfare plan: 105 participants, plan year 2025 financials, providers, and benchmarks from Form 5500.

Form 5500 filing data for plan year 2025.

## Plan Snapshot

- **Plan Sponsor:** Tri State Urologic Services P.S.C

- **Sponsor EIN:** 611257391

- **Sponsor Address:** 2000 JOSEPH E. SANKER BLVD., CINCINNATI, OH, 45212

- **Plan Type:** Health & Welfare

- **Plan Number:** 501

- **Total Participants:** 105

- **Total Assets:** $0

## 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

| Year|Participants|Total Assets|Employer Contrib.|Employee Contrib.|

| 2025|105|$0|$0|$0|

| 2022|73|$0|$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|

| UMR, INC|Other Service Provider|$96,606|$3,901|$100,507|

| DIGITAL INSURANCE INC|Investment Advisor|$21,000|—|$21,000|

## Plan Fees & Expenses

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

- **Total Service Provider Fees:** $121,507

### 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|—|—|—|—|—|

| 2022|—|—|—|—|—|

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