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ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN 401k Plan overview

Plan NameENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN
Plan identification number 503

ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

ENERGY SYSTEMS SOUTHEAST, LLC has sponsored the creation of one or more 401k plans.

Company Name:ENERGY SYSTEMS SOUTHEAST, LLC
Employer identification number (EIN):631278630
NAIC Classification:221100

Additional information about ENERGY SYSTEMS SOUTHEAST, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 1994833

More information about ENERGY SYSTEMS SOUTHEAST, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01ALAN FRIDAY2024-09-17
5032022-01-01ALAN FRIDAY2023-07-13
5032021-01-01ALAN FRIDAY2022-08-31
5032020-01-01ALAN FRIDAY2022-08-31

Plan Statistics for ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN

401k plan membership statisitcs for ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN

Measure Date Value
2023: ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01207
Total number of active participants reported on line 7a of the Form 55002023-01-01207
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01207
Number of employers contributing to the scheme2023-01-010
2022: ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01207
Total number of active participants reported on line 7a of the Form 55002022-01-01207
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01207
Number of employers contributing to the scheme2022-01-010
2021: ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01162
Total number of active participants reported on line 7a of the Form 55002021-01-01207
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01207
Number of employers contributing to the scheme2021-01-010
2020: ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01131
Total number of active participants reported on line 7a of the Form 55002020-01-01162
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 participants2020-01-01162
Number of employers contributing to the scheme2020-01-010

Form 5500 Responses for ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN

2023: ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: ENERGY SYSTEMS SOUTHEAST DENTAL AND VISION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number169525
Policy instance 1
Insurance contract or identification number169525
Number of Individuals Covered189
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $15,903
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number169525
Policy instance 1
Insurance contract or identification number169525
Number of Individuals Covered207
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $18,810
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,198
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1122049
Policy instance 1
Insurance contract or identification number1122049
Number of Individuals Covered463
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $21,408
Total amount of fees paid to insurance companyUSD $4,199
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $189,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,408
Amount paid for insurance broker fees4199
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1122049
Policy instance 1
Insurance contract or identification number1122049
Number of Individuals Covered379
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $17,598
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $153,938
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,598
Amount paid for insurance broker fees0
Insurance broker organization code?3

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