Plan Name | PHOENIX LASER SOLUTIONS, LLC GROUP MEDICAL PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | PHOENIX LASER SOLUTIONS LLC |
Employer identification number (EIN): | 200903833 |
NAIC Classification: | 541400 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-08-01 |
Measure | Date | Value |
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2022: PHOENIX LASER SOLUTIONS, LLC GROUP MEDICAL PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-08-01 | 80 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-08-01 | 102 |
Number of retired or separated participants receiving benefits | 2022-08-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-08-01 | 0 |
Total of all active and inactive participants | 2022-08-01 | 102 |
Measure | Date | Value |
---|---|---|
2023 : PHOENIX LASER SOLUTIONS, LLC GROUP MEDICAL PLAN 2023 401k financial data | ||
Total plan liabilities at end of year | 2023-06-30 | $117,661 |
Total plan liabilities at beginning of year | 2023-06-30 | $0 |
Total income from all sources | 2023-06-30 | $614,176 |
Expenses. Total of all expenses incurred | 2023-06-30 | $725,052 |
Benefits paid (including direct rollovers) | 2023-06-30 | $436,218 |
Total plan assets at end of year | 2023-06-30 | $6,785 |
Total plan assets at beginning of year | 2023-06-30 | $0 |
Value of fidelity bond covering the plan | 2023-06-30 | $50,000 |
Total contributions received or receivable from participants | 2023-06-30 | $244,403 |
Expenses. Other expenses not covered elsewhere | 2023-06-30 | $268,070 |
Contributions received from other sources (not participants or employers) | 2023-06-30 | $2,549 |
Other income received | 2023-06-30 | $110 |
Net income (gross income less expenses) | 2023-06-30 | $-110,876 |
Net plan assets at end of year (total assets less liabilities) | 2023-06-30 | $-110,876 |
Net plan assets at beginning of year (total assets less liabilities) | 2023-06-30 | $0 |
Total contributions received or receivable from employer(s) | 2023-06-30 | $367,114 |
Value of corrective distributions | 2023-06-30 | $0 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2023-06-30 | $20,764 |
2022: PHOENIX LASER SOLUTIONS, LLC GROUP MEDICAL PLAN 2022 form 5500 responses | ||
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2022-08-01 | Type of plan entity | Single employer plan |
2022-08-01 | First time form 5500 has been submitted | Yes |
2022-08-01 | Submission has been amended | No |
2022-08-01 | This submission is the final filing | No |
2022-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2022-08-01 | Plan is a collectively bargained plan | No |
2022-08-01 | Plan funding arrangement – Insurance | Yes |
2022-08-01 | Plan funding arrangement – Trust | Yes |
2022-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2022-08-01 | Plan benefit arrangement – Insurance | Yes |
2022-08-01 | Plan benefit arrangement - Trust | Yes |
2022-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 000000 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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