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JOHN A. HUDEC AND ASSOCIATES, INC WELFARE BENFIT PLAN 401k Plan overview

Plan NameJOHN A. HUDEC AND ASSOCIATES, INC WELFARE BENFIT PLAN
Plan identification number 501

JOHN A. HUDEC AND ASSOCIATES, INC WELFARE BENFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

JOHN A. HUDEC AND ASSOCIATES, INC has sponsored the creation of one or more 401k plans.

Company Name:JOHN A. HUDEC AND ASSOCIATES, INC
Employer identification number (EIN):311582158
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN A. HUDEC AND ASSOCIATES, INC WELFARE BENFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-10-01

Plan Statistics for JOHN A. HUDEC AND ASSOCIATES, INC WELFARE BENFIT PLAN

401k plan membership statisitcs for JOHN A. HUDEC AND ASSOCIATES, INC WELFARE BENFIT PLAN

Measure Date Value
2022: JOHN A. HUDEC AND ASSOCIATES, INC WELFARE BENFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01218
Total number of active participants reported on line 7a of the Form 55002022-10-01108
Total of all active and inactive participants2022-10-01108
Total participants2022-10-01108

Form 5500 Responses for JOHN A. HUDEC AND ASSOCIATES, INC WELFARE BENFIT PLAN

2022: JOHN A. HUDEC AND ASSOCIATES, INC WELFARE BENFIT PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01First time form 5500 has been submittedYes
2022-10-01Submission has been amendedNo
2022-10-01This submission is the final filingNo
2022-10-01This return/report is a short plan year return/report (less than 12 months)No
2022-10-01Plan is a collectively bargained planNo
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0122332-01
Policy instance 1
Insurance contract or identification number0122332-01
Number of Individuals Covered107
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $25,673
Total amount of fees paid to insurance companyUSD $12,780
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,673
Amount paid for insurance broker fees12780
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number676746G
Policy instance 2
Insurance contract or identification number676746G
Number of Individuals Covered52
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $498
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $4,607
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $498
Insurance broker organization code?3

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