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STORIS, INC. - MEDICAL PLAN 401k Plan overview

Plan NameSTORIS, INC. - MEDICAL PLAN
Plan identification number 502

STORIS, INC. - MEDICAL PLAN Benefits

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

401k Sponsoring company profile

STORIS, INC has sponsored the creation of one or more 401k plans.

Company Name:STORIS, INC
Employer identification number (EIN):222943409
NAIC Classification:541511
NAIC Description:Custom Computer Programming Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STORIS, INC. - MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-03-01ALFRED CHAMBERS2023-12-14
5022021-03-01ALFRED CHAMBERS2022-12-06
5022020-03-01ALFRED CHAMBERS2021-12-14
5022019-03-01ALFRED CHAMBERS2020-12-14
5022018-03-01ALFRED CHAMBERS2019-12-03
5022017-03-01

Plan Statistics for STORIS, INC. - MEDICAL PLAN

401k plan membership statisitcs for STORIS, INC. - MEDICAL PLAN

Measure Date Value
2022: STORIS, INC. - MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01113
Total number of active participants reported on line 7a of the Form 55002022-03-01110
Number of retired or separated participants receiving benefits2022-03-013
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01113
2021: STORIS, INC. - MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01106
Total number of active participants reported on line 7a of the Form 55002021-03-01111
Number of retired or separated participants receiving benefits2021-03-011
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01112
2020: STORIS, INC. - MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-01111
Total number of active participants reported on line 7a of the Form 55002020-03-01101
Number of retired or separated participants receiving benefits2020-03-012
Number of other retired or separated participants entitled to future benefits2020-03-010
Total of all active and inactive participants2020-03-01103
2019: STORIS, INC. - MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01106
Total number of active participants reported on line 7a of the Form 55002019-03-01109
Number of retired or separated participants receiving benefits2019-03-011
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-01110
2018: STORIS, INC. - MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01101
Total number of active participants reported on line 7a of the Form 55002018-03-01104
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01104
2017: STORIS, INC. - MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01101
Total number of active participants reported on line 7a of the Form 55002017-03-01100
Total of all active and inactive participants2017-03-01100

Form 5500 Responses for STORIS, INC. - MEDICAL PLAN

2022: STORIS, INC. - MEDICAL PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: STORIS, INC. - MEDICAL PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: STORIS, INC. - MEDICAL PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes
2019: STORIS, INC. - MEDICAL PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: STORIS, INC. - MEDICAL PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: STORIS, INC. - MEDICAL PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01First time form 5500 has been submittedYes
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan 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 number00357952
Policy instance 1
Insurance contract or identification number00357952
Number of Individuals Covered169
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $60,265
Total amount of fees paid to insurance companyUSD $42,735
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $758,251
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,265
Insurance broker organization code?3
Amount paid for insurance broker fees42735
Additional information about fees paid to insurance brokerGENERAL AGENT FEES
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00357952
Policy instance 1
Insurance contract or identification number00357952
Number of Individuals Covered167
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $56,191
Total amount of fees paid to insurance companyUSD $39,847
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $721,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,191
Insurance broker organization code?3
Amount paid for insurance broker fees39847
Additional information about fees paid to insurance brokerSERVICE FEES
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00357952
Policy instance 1
Insurance contract or identification number00357952
Number of Individuals Covered156
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $55,306
Total amount of fees paid to insurance companyUSD $39,219
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $674,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,306
Insurance broker organization code?3
Amount paid for insurance broker fees39219
Additional information about fees paid to insurance brokerSERVICE FEES
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00357952
Policy instance 1
Insurance contract or identification number00357952
Number of Individuals Covered171
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $56,767
Total amount of fees paid to insurance companyUSD $40,255
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $710,428
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,767
Insurance broker organization code?3
Amount paid for insurance broker fees40255
Additional information about fees paid to insurance brokerSERVICE FEES
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00357952
Policy instance 1
Insurance contract or identification number00357952
Number of Individuals Covered163
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $55,040
Total amount of fees paid to insurance companyUSD $39,030
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $690,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $55,040
Insurance broker organization code?3
Amount paid for insurance broker fees39030
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00357952
Policy instance 1
Insurance contract or identification number00357952
Number of Individuals Covered159
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $53,579
Total amount of fees paid to insurance companyUSD $37,994
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $537,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,579
Insurance broker organization code?3
Amount paid for insurance broker fees37994
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker nameCENTERSTONE INS & FIN SERV (NY)

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