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INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 401k Plan overview

Plan NameINTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN
Plan identification number 502

INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

INTERCONTINENTAL CAPITAL GROUP I has sponsored the creation of one or more 401k plans.

Company Name:INTERCONTINENTAL CAPITAL GROUP I
Employer identification number (EIN):202355296
NAIC Classification:531190
NAIC Description:Lessors of Other Real Estate Property

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01HOWARD STEIN2023-08-21
5022021-02-01HOWARD STEIN2022-09-16
5022020-02-01HOWARD STEIN2021-11-15
5022019-02-01CHRISTINE CICCARELLI2020-11-04
5022018-02-01CHRISTINE CICCARELLI2019-11-14
5022017-02-01

Plan Statistics for INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN

401k plan membership statisitcs for INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN

Measure Date Value
2022: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01715
Total number of active participants reported on line 7a of the Form 55002022-01-0121
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 participants2022-01-0121
Number of employers contributing to the scheme2022-01-010
2021: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-02-01179
Total number of active participants reported on line 7a of the Form 55002021-02-01715
Number of retired or separated participants receiving benefits2021-02-010
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-01715
Number of employers contributing to the scheme2021-02-010
2020: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01179
Total number of active participants reported on line 7a of the Form 55002020-02-01179
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01179
Number of employers contributing to the scheme2020-02-010
2019: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01253
Total number of active participants reported on line 7a of the Form 55002019-02-01179
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01179
Number of employers contributing to the scheme2019-02-010
2018: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-01253
Total number of active participants reported on line 7a of the Form 55002018-02-01253
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-01253
Number of employers contributing to the scheme2018-02-010
2017: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01253
Total number of active participants reported on line 7a of the Form 55002017-02-01253
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01253

Form 5500 Responses for INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN

2022: INTERCONTINENTAL CAPITAL GROUP 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: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – InsuranceYes
2020: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – InsuranceYes
2019: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes
2018: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – InsuranceYes
2017: INTERCONTINENTAL CAPITAL GROUP DENTAL AND VISION PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01First time form 5500 has been submittedYes
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number300541
Policy instance 1
Insurance contract or identification number300541
Number of Individuals Covered58
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $170,762
Total amount of fees paid to insurance companyUSD $83,094
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $282,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $170,762
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number300541
Policy instance 1
Insurance contract or identification number300541
Number of Individuals Covered1135
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $33,446
Total amount of fees paid to insurance companyUSD $29,076
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $694,202
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,446
Amount paid for insurance broker fees7560
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number4K4823
Policy instance 1
Insurance contract or identification number4K4823
Number of Individuals Covered207
Insurance policy start date2020-02-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $13,446
Total amount of fees paid to insurance companyUSD $3,326
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $134,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,172
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number4K4823
Policy instance 1
Insurance contract or identification number4K4823
Number of Individuals Covered179
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $4,683
Total amount of fees paid to insurance companyUSD $5,402
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5402
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $4,683
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number563341
Policy instance 1
Insurance contract or identification number563341
Number of Individuals Covered166
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $11,908
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,244
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,214
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number563341
Policy instance 1
Insurance contract or identification number563341
Number of Individuals Covered253
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $11,220
Total amount of fees paid to insurance companyUSD $3,318
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $94,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,775
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameEMERSON REID AND COMPANY

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