· 2022–2024 · DOL EFAST2

HEALTHY SMILES OF THE BLUEGRASS — HEALTHY SMILES OF THE BLUEGRASS CBS BENEFIT PLAN, Form 5500 (2024)

Original filing (PDF)20251229132528NAL0010217811001

HEALTHY SMILES OF THE BLUEGRASS

Form 5500-SF

FILING_RECEIVED

HEALTHY SMILES OF THE BLUEGRASS CBS BENEFIT PLAN

Health & welfare plan

Active participants

2

Accounts w/ balance

—

Plan assets (EOY)

$2K

Net assets (EOY)

$629

Plan health score (directional)

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

Helping the score

Cost not scored — no comparable Schedule H expense data for this cohort.
Plan health not scored — no comparable participation/contribution data.

Decision-maker contacts

One unlock reveals every key decision-maker — plan signer, CFO, HR & Benefits — with verified email + LinkedIn for HEALTHY SMILES OF THE BLUEGRASS.

Plan sponsor

Name

HEALTHY SMILES OF THE BLUEGRASS

EIN

81-2593580all filings

Address

740 BYPASS ROAD, · SUITE 6 · WINCHESTER, KY · 40391

Phone

(859) 744-2123

Industry

Offices of Dentists· Health Care & Social Assistancesee all

Plan administrator

Name

JOSEPH HSU

EIN

84-6429706

City

FRANKFORT, KY

Phone

(502) 695-4700

Plan characteristics

Plan number

501

Plan year

2024

Plan year begin

2024-06-01

Tax period

2025-05-31

Filed

2025-12-29

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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