Original filing (PDF)20240828225453NAL0012764017001

STAFF MID AMERICA

Name: STAFF MID AMERICA — STAFF MID AMERICA MEDOVA LIFESTYLE HEALTH PLAN, Form 5500 (2022)
Creator: STAFF MID AMERICA

Form 5500-SF

FILING_RECEIVED

STAFF MID AMERICA MEDOVA LIFESTYLE HEALTH PLAN

Health & welfare plan

Signals · 1

Late filing · 9.4 mo

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

-$56K

Plan health score (directional)

/ 100

Grade B

Above-average plan

Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.

Compliance & disclosures

Concentration risk

Total plan cost

Vendor stack

100

Participation health

Decision-maker contacts

CFO / Head of HR / Benefits Manager — verified email + LinkedIn for STAFF MID AMERICA.

Plan sponsor

Name

STAFF MID AMERICA

EIN

47-0826013

Address

4315 FRANCES ST STE 300 · OMAHA, NE · 681052847

Phone

(402) 466-4994

Industry

Admin Support & Waste Mgmtsee all

Plan administrator

Name

RECEIVERSHIP MANAGEMENT INC

EIN

20-0200514

City

MADISON, TN

Phone

(615) 370-0051

Plan characteristics

Plan number

501

Plan year

2022

Plan year begin

2022-01-01

Tax period

2022-12-31

Filed

2024-08-28

Welfare benefit codes

4A · Health (other than dental or vision)

4D · Dental

4E · 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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