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PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN 401k Plan overview

Plan NamePATIENTSLIKEME INC. LIFE AND DISABILITY PLAN
Plan identification number 501

PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

PATIENTSLIKEME LLC has sponsored the creation of one or more 401k plans.

Company Name:PATIENTSLIKEME LLC
Employer identification number (EIN):202310011
NAIC Classification:519100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-07-15GEORGE PARKER2019-10-07
5012017-08-01
5012016-08-01

Plan Statistics for PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN

401k plan membership statisitcs for PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN

Measure Date Value
2018: PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-15164
Total number of active participants reported on line 7a of the Form 55002018-07-150
Number of retired or separated participants receiving benefits2018-07-150
Number of other retired or separated participants entitled to future benefits2018-07-150
Total of all active and inactive participants2018-07-150
Number of employers contributing to the scheme2018-07-150
2017: PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01166
Total number of active participants reported on line 7a of the Form 55002017-08-01165
Number of retired or separated participants receiving benefits2017-08-018
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-01173
2016: PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-01129
Total number of active participants reported on line 7a of the Form 55002016-08-01166
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01166

Form 5500 Responses for PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN

2018: PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN 2018 form 5500 responses
2018-07-15Type of plan entitySingle employer plan
2018-07-15This submission is the final filingYes
2018-07-15This return/report is a short plan year return/report (less than 12 months)Yes
2018-07-15Plan funding arrangement – InsuranceYes
2018-07-15Plan funding arrangement – General assets of the sponsorYes
2018-07-15Plan benefit arrangement – InsuranceYes
2018-07-15Plan benefit arrangement – General assets of the sponsorYes
2017: PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: PATIENTSLIKEME INC. LIFE AND DISABILITY PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01First time form 5500 has been submittedYes
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number619344
Policy instance 1
Insurance contract or identification number619344
Number of Individuals Covered194
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $8,457
Total amount of fees paid to insurance companyUSD $47,380
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,727,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,020
Amount paid for insurance broker fees24411
Additional information about fees paid to insurance brokerBENEFIT ADVISOR FEES
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGD608807
Policy instance 2
Insurance contract or identification numberSGD608807
Number of Individuals Covered169
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $10,556
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM,ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $133,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $10,556
Amount paid for insurance broker fees0
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGD608807
Policy instance 3
Insurance contract or identification numberSGD608807
Number of Individuals Covered169
Insurance policy start date2018-08-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $6,914
Total amount of fees paid to insurance companyUSD $2,185
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM,ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $79,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2185
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSOK606072
Policy instance 1
Insurance contract or identification numberSOK606072
Number of Individuals Covered165
Insurance policy start date2017-08-01
Insurance policy end date2018-07-14
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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