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EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF M SQUARED AZ INC
Plan identification number 501

EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC Benefits

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

401k Sponsoring company profile

M SQUARED AZ INC. has sponsored the creation of one or more 401k plans.

Company Name:M SQUARED AZ INC.
Employer identification number (EIN):851608911
NAIC Classification:811110
NAIC Description: Automotive Mechanical and Electrical Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01

Plan Statistics for EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC

Measure Date Value
2021: EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC 2021 401k membership
Total participants, beginning-of-year2021-11-013
Total number of active participants reported on line 7a of the Form 55002021-11-012
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-012

Financial Data on EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC

Measure Date Value
2022 : EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC 2022 401k financial data
Total income from all sources2022-04-30$4,668
Expenses. Total of all expenses incurred2022-04-30$3,220
Benefits paid (including direct rollovers)2022-04-30$237
Total plan assets at end of year2022-04-30$1,448
Value of fidelity bond covering the plan2022-04-30$1,000
Expenses. Other expenses not covered elsewhere2022-04-30$2,983
Net income (gross income less expenses)2022-04-30$1,448
Net plan assets at end of year (total assets less liabilities)2022-04-30$1,448
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$0
Total contributions received or receivable from employer(s)2022-04-30$4,668

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC

2021: EMPLOYEE HEALTH PLAN OF M SQUARED AZ INC 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01First time form 5500 has been submittedYes
2021-11-01Submission has been amendedNo
2021-11-01This submission is the final filingNo
2021-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-11-01Plan is a collectively bargained planNo
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan funding arrangement – TrustYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number45017 NFA 0878
Policy instance 1
Insurance contract or identification number45017 NFA 0878
Number of Individuals Covered2
Insurance policy start date2021-11-01
Insurance policy end date2022-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,872
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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