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GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 401k Plan overview

Plan NameGROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI
Plan identification number 292

GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI Benefits

401k Plan TypeOther Pension Benefit
Plan Features/Benefits
  • Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

SAN ANTONIO EYE CENTER, P.A. has sponsored the creation of one or more 401k plans.

Company Name:SAN ANTONIO EYE CENTER, P.A.
Employer identification number (EIN):741916103
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
2922023-04-01
2922022-05-01
2922021-05-01
2922020-05-01
2922019-05-01

Plan Statistics for GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI

401k plan membership statisitcs for GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI

Measure Date Value
2023: GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2023 401k membership
Total participants, beginning-of-year2023-04-01201
Total number of active participants reported on line 7a of the Form 55002023-04-01298
Total of all active and inactive participants2023-04-01298
Total participants2023-04-01298
2022: GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2022 401k membership
Total participants, beginning-of-year2022-05-01195
Total number of active participants reported on line 7a of the Form 55002022-05-01201
Total of all active and inactive participants2022-05-01201
Total participants2022-05-01201
2021: GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2021 401k membership
Total participants, beginning-of-year2021-05-01170
Total number of active participants reported on line 7a of the Form 55002021-05-01195
Total of all active and inactive participants2021-05-01195
Total participants2021-05-01195
2020: GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2020 401k membership
Total participants, beginning-of-year2020-05-01173
Total number of active participants reported on line 7a of the Form 55002020-05-01170
Total of all active and inactive participants2020-05-01170
Total participants2020-05-01170
2019: GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2019 401k membership
Total participants, beginning-of-year2019-05-01173
Total number of active participants reported on line 7a of the Form 55002019-05-01173
Total of all active and inactive participants2019-05-01173
Total participants2019-05-01173

Financial Data on GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI

Measure Date Value
2024 : GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2024 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2024-04-01No
Was this plan covered by a fidelity bond2024-04-01No
If this is an individual account plan, was there a blackout period2024-04-01No
Were there any nonexempt tranactions with any party-in-interest2024-04-01No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2024-04-01No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2024-04-01No
Were any loans by the plan or fixed income obligations due to the plan in default2024-04-01No
Were any leases to which the plan was party in default or uncollectible2024-04-01No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2024-04-01No
Was there a failure to transmit to the plan any participant contributions2024-04-01No
Has the plan failed to provide any benefit when due under the plan2024-04-01No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32024-04-01No
Did the plan have assets held for investment2024-04-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2024-04-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2024-04-01No
2023 : GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2023 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-05-01No
Was this plan covered by a fidelity bond2023-05-01No
If this is an individual account plan, was there a blackout period2023-05-01No
Were there any nonexempt tranactions with any party-in-interest2023-05-01No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-01No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-05-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-05-01No
Were any leases to which the plan was party in default or uncollectible2023-05-01No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-05-01No
Was there a failure to transmit to the plan any participant contributions2023-05-01No
Has the plan failed to provide any benefit when due under the plan2023-05-01No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-05-01No
Did the plan have assets held for investment2023-05-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-05-01No
2022 : GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2022 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-05-01No
Was this plan covered by a fidelity bond2022-05-01No
If this is an individual account plan, was there a blackout period2022-05-01No
Were there any nonexempt tranactions with any party-in-interest2022-05-01No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-01No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-05-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-05-01No
Were any leases to which the plan was party in default or uncollectible2022-05-01No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-05-01No
Was there a failure to transmit to the plan any participant contributions2022-05-01No
Has the plan failed to provide any benefit when due under the plan2022-05-01No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-05-01No
Did the plan have assets held for investment2022-05-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-05-01No
2021 : GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2021 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-05-01No
Was this plan covered by a fidelity bond2021-05-01No
If this is an individual account plan, was there a blackout period2021-05-01No
Were there any nonexempt tranactions with any party-in-interest2021-05-01No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-01No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-05-01No
Were any loans by the plan or fixed income obligations due to the plan in default2021-05-01No
Were any leases to which the plan was party in default or uncollectible2021-05-01No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-05-01No
Was there a failure to transmit to the plan any participant contributions2021-05-01No
Has the plan failed to provide any benefit when due under the plan2021-05-01No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-05-01No
Did the plan have assets held for investment2021-05-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-05-01No
2020 : GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2020 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-05-01No
Was this plan covered by a fidelity bond2020-05-01No
If this is an individual account plan, was there a blackout period2020-05-01No
Were there any nonexempt tranactions with any party-in-interest2020-05-01No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-01No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-05-01No
Were any loans by the plan or fixed income obligations due to the plan in default2020-05-01No
Were any leases to which the plan was party in default or uncollectible2020-05-01No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-05-01No
Was there a failure to transmit to the plan any participant contributions2020-05-01No
Has the plan failed to provide any benefit when due under the plan2020-05-01No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-05-01No
Did the plan have assets held for investment2020-05-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-05-01No

Form 5500 Responses for GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI

2023: GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan benefit arrangement – InsuranceYes
2022: GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: GROUP TERM LIFE & DISABILITY POLICY FOR SAN ANTONI 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number931279
Policy instance 3
Insurance contract or identification number931279
Number of Individuals Covered298
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $6,001
Total amount of fees paid to insurance companyUSD $36,299
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $672,144
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000413516
Policy instance 2
Insurance contract or identification number000000413516
Number of Individuals Covered98
Insurance policy start date2023-04-01
Insurance policy end date2024-04-01
Total amount of commissions paid to insurance brokerUSD $4,164
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000297658
Policy instance 1
Insurance contract or identification number000000297658
Number of Individuals Covered184
Insurance policy start date2023-04-01
Insurance policy end date2024-04-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,770
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $160,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000413516
Policy instance 2
Insurance contract or identification number000000413516
Number of Individuals Covered146
Insurance policy start date2022-05-01
Insurance policy end date2023-05-01
Total amount of commissions paid to insurance brokerUSD $4,683
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,683
Additional information about fees paid to insurance brokerSALES COMMISSION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000297658
Policy instance 1
Insurance contract or identification number000000297658
Number of Individuals Covered201
Insurance policy start date2022-05-01
Insurance policy end date2023-05-01
Total amount of commissions paid to insurance brokerUSD $2,816
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $168,363
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,816
Additional information about fees paid to insurance brokerSALES COMMISSION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000413516
Policy instance 2
Insurance contract or identification number000000413516
Number of Individuals Covered149
Insurance policy start date2021-05-01
Insurance policy end date2022-05-01
Total amount of commissions paid to insurance brokerUSD $4,623
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,623
Additional information about fees paid to insurance brokerSALES COMMISSION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000297658
Policy instance 1
Insurance contract or identification number000000297658
Number of Individuals Covered195
Insurance policy start date2021-05-01
Insurance policy end date2022-05-01
Total amount of commissions paid to insurance brokerUSD $2,733
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $162,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,733
Additional information about fees paid to insurance brokerSALES COMMISSION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000413516
Policy instance 2
Insurance contract or identification number000000413516
Number of Individuals Covered125
Insurance policy start date2020-05-01
Insurance policy end date2021-05-01
Total amount of commissions paid to insurance brokerUSD $3,975
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,975
Additional information about fees paid to insurance brokerSALES COMMISSION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000297658
Policy instance 1
Insurance contract or identification number000000297658
Number of Individuals Covered170
Insurance policy start date2020-05-01
Insurance policy end date2021-05-01
Total amount of commissions paid to insurance brokerUSD $8,681
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $167,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,014
Additional information about fees paid to insurance brokerSALES COMMISSION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000413516
Policy instance 2
Insurance contract or identification number000000413516
Number of Individuals Covered111
Insurance policy start date2019-05-01
Insurance policy end date2020-05-01
Total amount of commissions paid to insurance brokerUSD $3,669
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,669
Additional information about fees paid to insurance brokerSALES COMMISSION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000297658
Policy instance 1
Insurance contract or identification number000000297658
Number of Individuals Covered173
Insurance policy start date2019-05-01
Insurance policy end date2020-05-01
Total amount of commissions paid to insurance brokerUSD $6,873
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,811
Additional information about fees paid to insurance brokerSALES COMMISION

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