SKYLANDS MEDICAL GROUP, P.A. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan SKYLANDS MEDICAL GROUP, PA HEALTH INSURANCE PLAN
401k plan membership statisitcs for SKYLANDS MEDICAL GROUP, PA HEALTH INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2021: SKYLANDS MEDICAL GROUP, PA HEALTH INSURANCE PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-08-31 | 99 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-08-31 | 0 |
| Number of retired or separated participants receiving benefits | 2021-08-31 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-08-31 | 0 |
| Total of all active and inactive participants | 2021-08-31 | 0 |
| 2020: SKYLANDS MEDICAL GROUP, PA HEALTH INSURANCE PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-08-01 | 194 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-08-01 | 99 |
| Number of retired or separated participants receiving benefits | 2020-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-08-01 | 0 |
| Total of all active and inactive participants | 2020-08-01 | 99 |
| 2019: SKYLANDS MEDICAL GROUP, PA HEALTH INSURANCE PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-08-01 | 199 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 194 |
| Number of retired or separated participants receiving benefits | 2019-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
| Total of all active and inactive participants | 2019-08-01 | 194 |
| 2018: SKYLANDS MEDICAL GROUP, PA HEALTH INSURANCE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-08-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-08-01 | 199 |
| Number of retired or separated participants receiving benefits | 2018-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-08-01 | 0 |
| Total of all active and inactive participants | 2018-08-01 | 199 |
| 2021: SKYLANDS MEDICAL GROUP, PA HEALTH INSURANCE PLAN 2021 form 5500 responses |
|---|
| 2021-08-31 | Type of plan entity | Single employer plan |
| 2021-08-31 | This submission is the final filing | Yes |
| 2021-08-31 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2021-08-31 | Plan funding arrangement – Insurance | Yes |
| 2021-08-31 | Plan benefit arrangement – Insurance | Yes |
| 2020: SKYLANDS MEDICAL GROUP, PA HEALTH INSURANCE PLAN 2020 form 5500 responses |
|---|
| 2020-08-01 | Type of plan entity | Single employer plan |
| 2020-08-01 | Plan funding arrangement – Insurance | Yes |
| 2020-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: SKYLANDS MEDICAL GROUP, PA HEALTH INSURANCE PLAN 2019 form 5500 responses |
|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: SKYLANDS MEDICAL GROUP, PA HEALTH INSURANCE PLAN 2018 form 5500 responses |
|---|
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | First time form 5500 has been submitted | Yes |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0276185 |
| Policy instance | 1 |
| Insurance contract or identification number | 0276185 | | Insurance policy start date | 2021-08-01 | | Insurance policy end date | 2021-11-30 | | Total amount of commissions paid to insurance broker | USD $28,287 | | Total amount of fees paid to insurance company | USD $10,166 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $429,666 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $28,287 | | Amount paid for insurance broker fees | 5083 | | Additional information about fees paid to insurance broker | OVERRIDES ADMINISTRATIVE SERVICES | | Insurance broker organization code? | 3 |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0276185 |
| Policy instance | 1 |
| Insurance contract or identification number | 0276185 | | Number of Individuals Covered | 99 | | Insurance policy start date | 2020-08-01 | | Insurance policy end date | 2021-07-31 | | Total amount of commissions paid to insurance broker | USD $108,049 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,807,913 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $91,084 | | Additional information about fees paid to insurance broker | BONUS ADMINISTRATIVE SERVICES | | Insurance broker organization code? | 3 |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | SM22193 |
| Policy instance | 1 |
| Insurance contract or identification number | SM22193 | | Number of Individuals Covered | 194 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $84,607 | | Total amount of fees paid to insurance company | USD $17,458 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,837,885 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $84,607 | | Additional information about fees paid to insurance broker | BONUS ADMINISTRATIVE SERVICES | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 17458 |
|
| OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | SM22193 |
| Policy instance | 1 |
| Insurance contract or identification number | SM22193 | | Number of Individuals Covered | 199 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $61,256 | | Total amount of fees paid to insurance company | USD $12,597 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,218,119 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $61,256 | | Additional information about fees paid to insurance broker | BONUS ADMINISTRATIVE SERVICES | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 12597 |
|
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