Medical Solutions, L.L.C. 401(k) Review & Grade
Medical Solutions 401(k) Plan
Omaha, NEAdministrative, Support & Staffing Services16,424 active participantsPlan year 2024✓ Auto-enroll
Estimate from the plan's Form 5500 filing · How we grade
$1,056Employer $ per active participant
$2,962Employee $ saved per active participant
0.14%Direct admin cost, % of plan assets
$496.2MNet plan assets, end of year
$28,770Average balance per account
Score breakdown
- Employer generosity37.5 / 5075th percentile for employer $ per participant
- Low cost7.4 / 2530th percentile for low admin cost vs. same-size plans
- Employee saving10.8 / 1572th percentile for employee $ per participant
- Plan features10 / 10Auto-enrollment, Default investment
- Red-flag deductions-10 pts1 issue reported on the filing
Total score56 / 100 · Grade C
This plan vs. peers
Peers: Administrative, Support & Staffing Services plans with 10,000+ active participants (33 plans).
| Measure | Percentile |
|---|---|
| Employer $ per participant | 75th |
| Lower admin cost | 30th |
| Employee saving | 72th |
| Peers that auto-enroll | 36% |
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Red flags from the filing
Benefits not paid when due: the plan reported failing to pay some benefits on time.
What to do if you're in this plan
- Medical Solutions put in about $1,056 per active participant, more than the typical peer ($271). Contribute at least enough to collect the full match. Skipping it leaves part of your pay on the table.
- The filing shows total dollars, not the match formula. Ask HR for the Summary Plan Description so you know the exact match and vesting schedule.
- Direct plan expenses (0.14% of assets) are well above similar-size plans (0.09%). Check your annual fee disclosure, choose low-cost index funds if you can, and think about whether savings beyond the match belong in an IRA.
- The plan auto-enrolls employees. Check your default contribution rate. Defaults are often lower than what it takes to get the full match.
- Changing jobs? You can usually leave the money in the plan, move it to your new employer's plan, or roll it into an IRA. Don't cash out: you'd owe taxes and possibly a 10% penalty.
The raw numbers from the filing
| Employer contributions | $17,348,822 |
| Participant (employee) contributions | $48,650,531 |
| Other contributions (incl. rollovers in) | $7,102,975 |
| Administrative expenses paid from the plan | $660,133 |
| Contract administrator fees | $600 |
| Investment advisory & management fees | $212,542 |
| Benefits paid out | $77,404,501 |
| Net assets, start / end of year | $431.6M / $496.2M |
| Active participants, start / end of year | 15,775 / 17,074 |
| Participants with account balances | 17,248 |
| Auto-enrollment (feature code 2S) | Yes |
| Auditor | Lutz |
Largest service providers (Schedule C)
| Fidelity Investments Institutional | $447,591 reported compensation |
| Strategic Advisors, Inc. | $157,057 reported compensation |
| Usi Advisors Inc | $55,484 reported compensation |
Source: DOL EFAST2 Form 5500 filing, acknowledgment ID 20251002111154NAL0000356865001, received 2025-10-02, EIN 91-2184792, plan #001, plan year 2024-01-01 to 2024-12-31. Verify at efast.dol.gov.