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UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN 401k Plan overview

Plan NameUNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN
Plan identification number 505

UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES has sponsored the creation of one or more 401k plans.

Company Name:UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES
Employer identification number (EIN):593166042
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052020-01-01REBECCA KANGAS2021-10-08
5052020-01-01REBECCA KANGAS2022-05-17
5052019-02-01REBECCA KANGAS2021-10-01

Plan Statistics for UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN

401k plan membership statisitcs for UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN

Measure Date Value
2020: UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01362
Total number of active participants reported on line 7a of the Form 55002020-01-01479
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01479
Number of employers contributing to the scheme2020-01-010
2019: UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01371
Total number of active participants reported on line 7a of the Form 55002019-02-01350
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01350
Number of employers contributing to the scheme2019-02-010

Form 5500 Responses for UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN

2020: UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01This submission is the final filingYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: UNIVERSITY OF ST. AUGUSTINE FOR HEALTH SCIENCES TELEMEDICINE PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01First time form 5500 has been submittedYes
2019-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HEALTHIEST YOU (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberHY7491
Policy instance 1
Insurance contract or identification numberHY7491
Number of Individuals Covered479
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $14,759
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTELEMEDICINE
Welfare Benefit Premiums Paid to CarrierUSD $57,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $14,759
Amount paid for insurance broker fees0
Insurance broker organization code?3
TELADOC, INC. (National Association of Insurance Commissioners NAIC id number: 52411 )
Policy contract numberHY7491
Policy instance 1
Insurance contract or identification numberHY7491
Number of Individuals Covered350
Insurance policy start date2019-02-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedTELEMEDICINE
Welfare Benefit Premiums Paid to CarrierUSD $21,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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