Original filing (PDF)20231227141155NAL0013114448001

BLUEGRASS BREAST IMAGING, PLLC

Name: BLUEGRASS BREAST IMAGING, PLLC — BLUEGRASS BREAST IMAGING CBS BENEFIT PLAN, Form 5500 (2022)
Creator: BLUEGRASS BREAST IMAGING, PLLC

Form 5500-SF

FILING_RECEIVED

BLUEGRASS BREAST IMAGING CBS BENEFIT PLAN

Health & welfare plan

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

Plan health score (directional)

—

/ 100

Limited data

Limited public data — directional only

Directional indicator from public Form 5500 data — compliance & integrity, total plan cost, participant health and vendor stack, benchmarked against same-size peers. Not a fiduciary tool. Based on 35% of scoring inputs for this filing.

Compliance & integrity

100

Total plan cost

n/a

Plan health

n/a

Vendor & structure

n/a

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for BLUEGRASS BREAST IMAGING, PLLC.

Plan sponsor

Name

BLUEGRASS BREAST IMAGING, PLLC

EIN

04-3672671

Address

160 N EAGLE CREEK DR · SUITE 101 · LEXINGTON, KY · 40509

Phone

(859) 967-5613

Industry

Health Care & Social Assistancesee all

Plan administrator

Name

SHAWNA BURTON

EIN

84-6429706

City

FRANKFORT, KY

Phone

(502) 695-4700

Plan characteristics

Plan number

501

Plan year

2022

Plan year begin

2022-06-01

Tax period

2023-05-31

Filed

2023-12-27

Welfare benefit codes

4A · Health (other than dental or vision)

Audit & trust (Schedule H)

Auditor

—

Trustee / custodian

—

Trustee phone

—

Small plan (5500-SF) — Schedule H data not available.

Service providers (Schedule C)

Small plans don't disclose service providers

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