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HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN 401k Plan overview

Plan NameHIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN
Plan identification number 510

HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT 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)

401k Sponsoring company profile

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

Company Name:HIRELEVEL, INC.
Employer identification number (EIN):371345036
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102023-03-01TERESA KATUBIG2024-09-03
5102022-03-01TERESA KATUBIG2023-09-25
5102021-03-01TERESA KATUBIG2022-09-21
5102020-03-01TERESA KATUBIG2021-09-29

Plan Statistics for HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN

401k plan membership statisitcs for HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN

Measure Date Value
2023: HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-03-01127
Total number of active participants reported on line 7a of the Form 55002023-03-01110
Total of all active and inactive participants2023-03-01110
2022: HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01246
Total number of active participants reported on line 7a of the Form 55002022-03-01127
Total of all active and inactive participants2022-03-01127
2021: HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01316
Total number of active participants reported on line 7a of the Form 55002021-03-01246
Total of all active and inactive participants2021-03-01246
2020: HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-010
Total number of active participants reported on line 7a of the Form 55002020-03-01316
Number of other retired or separated participants entitled to future benefits2020-03-010
Total of all active and inactive participants2020-03-01316

Form 5500 Responses for HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN

2023: HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-03-01Type of plan entitySingle employer plan
2023-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan benefit arrangement – InsuranceYes
2022: HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT 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: HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT 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: HIRELEVEL, INC. ESSENTIAL STAFFCARE WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01First time form 5500 has been submittedYes
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberPAI-L-2959000
Policy instance 6
Insurance contract or identification numberPAI-L-2959000
Number of Individuals Covered27
Insurance policy start date2023-02-20
Insurance policy end date2024-02-19
Total amount of commissions paid to insurance brokerUSD $1,079
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberPAI-L-2959000
Policy instance 5
Insurance contract or identification numberPAI-L-2959000
Number of Individuals Covered32
Insurance policy start date2023-02-20
Insurance policy end date2024-02-19
Total amount of commissions paid to insurance brokerUSD $199
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-V-2959000
Policy instance 4
Insurance contract or identification numberPAI-V-2959000
Number of Individuals Covered53
Insurance policy start date2023-02-20
Insurance policy end date2024-02-19
Total amount of commissions paid to insurance brokerUSD $1,358
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-D-2959000
Policy instance 3
Insurance contract or identification numberPAI-D-2959000
Number of Individuals Covered63
Insurance policy start date2023-02-20
Insurance policy end date2024-02-19
Total amount of commissions paid to insurance brokerUSD $3,850
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,738
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-M-2959000
Policy instance 2
Insurance contract or identification numberPAI-M-2959000
Number of Individuals Covered74
Insurance policy start date2023-02-20
Insurance policy end date2024-02-19
Total amount of commissions paid to insurance brokerUSD $13,227
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $69,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1095459
Policy instance 1
Insurance contract or identification number1095459
Number of Individuals Covered36
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $8,350
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $169,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-M-2959000
Policy instance 2
Insurance contract or identification numberPAI-M-2959000
Number of Individuals Covered95
Insurance policy start date2022-02-20
Insurance policy end date2023-02-19
Total amount of commissions paid to insurance brokerUSD $19,618
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $103,251
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,618
Insurance broker organization code?3
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-D-2959000
Policy instance 3
Insurance contract or identification numberPAI-D-2959000
Number of Individuals Covered68
Insurance policy start date2022-02-20
Insurance policy end date2023-02-19
Total amount of commissions paid to insurance brokerUSD $5,464
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,464
Insurance broker organization code?3
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-V-2959000
Policy instance 4
Insurance contract or identification numberPAI-V-2959000
Number of Individuals Covered49
Insurance policy start date2022-02-20
Insurance policy end date2023-02-19
Total amount of commissions paid to insurance brokerUSD $1,983
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,983
Insurance broker organization code?3
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberPAI-L-2959000
Policy instance 5
Insurance contract or identification numberPAI-L-2959000
Number of Individuals Covered37
Insurance policy start date2022-02-20
Insurance policy end date2023-02-19
Total amount of commissions paid to insurance brokerUSD $607
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $607
Insurance broker organization code?3
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberPAI-L-2959000
Policy instance 6
Insurance contract or identification numberPAI-L-2959000
Number of Individuals Covered33
Insurance policy start date2022-02-20
Insurance policy end date2023-02-19
Total amount of commissions paid to insurance brokerUSD $1,651
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,651
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number03L4672
Policy instance 1
Insurance contract or identification number03L4672
Number of Individuals Covered32
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $12,025
Total amount of fees paid to insurance companyUSD $2,200
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $242,254
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,025
Amount paid for insurance broker fees2200
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberPAI-L-2959000
Policy instance 6
Insurance contract or identification numberPAI-L-2959000
Number of Individuals Covered66
Insurance policy start date2021-02-20
Insurance policy end date2022-02-19
Total amount of commissions paid to insurance brokerUSD $2,725
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,725
Insurance broker organization code?3
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberPAI-L-2959000
Policy instance 5
Insurance contract or identification numberPAI-L-2959000
Number of Individuals Covered76
Insurance policy start date2021-02-20
Insurance policy end date2022-02-19
Total amount of commissions paid to insurance brokerUSD $505
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $505
Insurance broker organization code?3
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-V-2959000
Policy instance 4
Insurance contract or identification numberPAI-V-2959000
Number of Individuals Covered111
Insurance policy start date2021-02-20
Insurance policy end date2022-02-19
Total amount of commissions paid to insurance brokerUSD $3,660
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,930
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,660
Insurance broker organization code?3
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-D-2959000
Policy instance 3
Insurance contract or identification numberPAI-D-2959000
Number of Individuals Covered136
Insurance policy start date2021-02-20
Insurance policy end date2022-02-19
Total amount of commissions paid to insurance brokerUSD $9,881
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,881
Insurance broker organization code?3
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-M-2959000
Policy instance 2
Insurance contract or identification numberPAI-M-2959000
Number of Individuals Covered200
Insurance policy start date2021-02-20
Insurance policy end date2022-02-19
Total amount of commissions paid to insurance brokerUSD $38,241
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $201,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,241
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number03L4672
Policy instance 1
Insurance contract or identification number03L4672
Number of Individuals Covered46
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $11,850
Total amount of fees paid to insurance companyUSD $594
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $267,054
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,850
Amount paid for insurance broker fees594
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-M-2959000
Policy instance 2
Insurance contract or identification numberPAI-M-2959000
Number of Individuals Covered286
Insurance policy start date2020-02-20
Insurance policy end date2021-02-19
Total amount of commissions paid to insurance brokerUSD $30,389
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $160,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,389
Insurance broker organization code?3
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-D-2959000
Policy instance 3
Insurance contract or identification numberPAI-D-2959000
Number of Individuals Covered187
Insurance policy start date2020-02-20
Insurance policy end date2021-02-19
Total amount of commissions paid to insurance brokerUSD $8,025
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,025
Insurance broker organization code?3
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberPAI-V-2959000
Policy instance 4
Insurance contract or identification numberPAI-V-2959000
Number of Individuals Covered147
Insurance policy start date2020-02-20
Insurance policy end date2021-02-19
Total amount of commissions paid to insurance brokerUSD $2,790
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,790
Insurance broker organization code?3
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberPAI-L-2959000
Policy instance 5
Insurance contract or identification numberPAI-L-2959000
Number of Individuals Covered108
Insurance policy start date2020-02-20
Insurance policy end date2021-02-19
Total amount of commissions paid to insurance brokerUSD $427
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,874
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $427
Insurance broker organization code?3
FOUR EVER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80985 )
Policy contract numberPAI-L-2959000
Policy instance 6
Insurance contract or identification numberPAI-L-2959000
Number of Individuals Covered93
Insurance policy start date2020-02-20
Insurance policy end date2021-02-19
Total amount of commissions paid to insurance brokerUSD $2,024
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,024
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number03L4672
Policy instance 1
Insurance contract or identification number03L4672
Number of Individuals Covered30
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $7,325
Total amount of fees paid to insurance companyUSD $1,451
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $152,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,325
Amount paid for insurance broker fees1451
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3

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