Original filing (PDF)20230727091626NAL0012428401001

MOUNTAIN STATE DIABETES PLLC

Name: MOUNTAIN STATE DIABETES PLLC — MOUNTAIN STATE DIABETES PLLC CBWV BENEFIT PLAN, Form 5500 (2022)
Creator: MOUNTAIN STATE DIABETES PLLC

Form 5500-SF

FILING_RECEIVED

MOUNTAIN STATE DIABETES PLLC CBWV BENEFIT PLAN

Health & welfare plan

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

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 MOUNTAIN STATE DIABETES PLLC.

Plan sponsor

Name

MOUNTAIN STATE DIABETES PLLC

EIN

84-4566462

Address

1212 GARFIELD AVE · SUTE 200 · PARKERSBURG, WV · 26101

Phone

(877) 377-8427

Industry

Health Care & Social Assistancesee all

Plan administrator

Name

ERIKKA STORCH

EIN

82-2769605

City

WHEELING, WV

Phone

(304) 233-2575

Plan characteristics

Plan number

501

Plan year

2022

Plan year begin

2022-01-01

Tax period

2022-12-31

Filed

2023-07-27

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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