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AAM 15 MANAGEMENT MEDICAL 401k Plan overview

Plan NameAAM 15 MANAGEMENT MEDICAL
Plan identification number 502

AAM 15 MANAGEMENT MEDICAL Benefits

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

AAM 15 MANAGEMENT LLC has sponsored the creation of one or more 401k plans.

Company Name:AAM 15 MANAGEMENT LLC
Employer identification number (EIN):270192886
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Additional information about AAM 15 MANAGEMENT LLC

Jurisdiction of Incorporation: Commonwealth of Massachusetts Corporations Division
Incorporation Date:
Company Identification Number: 001002886

More information about AAM 15 MANAGEMENT LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AAM 15 MANAGEMENT MEDICAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-08-10ANTHONY LIBROT2023-02-02
5022020-08-10ANTHONY LIBROT2021-12-14
5022019-08-10ANTHONY LIBROT2020-12-18

Plan Statistics for AAM 15 MANAGEMENT MEDICAL

401k plan membership statisitcs for AAM 15 MANAGEMENT MEDICAL

Measure Date Value
2021: AAM 15 MANAGEMENT MEDICAL 2021 401k membership
Total participants, beginning-of-year2021-08-10147
Total number of active participants reported on line 7a of the Form 55002021-08-10107
Number of retired or separated participants receiving benefits2021-08-100
Number of other retired or separated participants entitled to future benefits2021-08-100
Total of all active and inactive participants2021-08-10107
Number of employers contributing to the scheme2021-08-100
2020: AAM 15 MANAGEMENT MEDICAL 2020 401k membership
Total participants, beginning-of-year2020-08-10221
Total number of active participants reported on line 7a of the Form 55002020-08-1084
Number of retired or separated participants receiving benefits2020-08-100
Number of other retired or separated participants entitled to future benefits2020-08-100
Total of all active and inactive participants2020-08-1084
Number of employers contributing to the scheme2020-08-100
2019: AAM 15 MANAGEMENT MEDICAL 2019 401k membership
Total participants, beginning-of-year2019-08-10100
Total number of active participants reported on line 7a of the Form 55002019-08-10221
Number of retired or separated participants receiving benefits2019-08-100
Number of other retired or separated participants entitled to future benefits2019-08-100
Total of all active and inactive participants2019-08-10221
Number of employers contributing to the scheme2019-08-100

Form 5500 Responses for AAM 15 MANAGEMENT MEDICAL

2021: AAM 15 MANAGEMENT MEDICAL 2021 form 5500 responses
2021-08-10Type of plan entitySingle employer plan
2021-08-10Plan funding arrangement – InsuranceYes
2021-08-10Plan benefit arrangement – InsuranceYes
2020: AAM 15 MANAGEMENT MEDICAL 2020 form 5500 responses
2020-08-10Type of plan entitySingle employer plan
2020-08-10Plan funding arrangement – InsuranceYes
2020-08-10Plan benefit arrangement – InsuranceYes
2019: AAM 15 MANAGEMENT MEDICAL 2019 form 5500 responses
2019-08-10Type of plan entitySingle employer plan
2019-08-10First time form 5500 has been submittedYes
2019-08-10Plan funding arrangement – InsuranceYes
2019-08-10Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number268040001
Policy instance 1
Insurance contract or identification number268040001
Number of Individuals Covered252
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $51,922
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $1,552,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $51,922
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number268040001
Policy instance 1
Insurance contract or identification number268040001
Number of Individuals Covered198
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $47,738
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $1,529,347
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $47,738
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARVARD PILGRIM HEALTH CARE, INC. (National Association of Insurance Commissioners NAIC id number: 96911 )
Policy contract number268040001
Policy instance 1
Insurance contract or identification number268040001
Number of Individuals Covered130
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $32,195
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $1,885,823
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $32,195
Amount paid for insurance broker fees0
Insurance broker organization code?3

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