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ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NameENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN
Plan identification number 501

ENTREGA SYSTEMS GROUP, INC. HEALTH & 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

ENTREGA SYSTEMS GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:ENTREGA SYSTEMS GROUP, INC.
Employer identification number (EIN):383593522
NAIC Classification:541511
NAIC Description:Custom Computer Programming Services

Additional information about ENTREGA SYSTEMS GROUP, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2022-02-16
Company Identification Number: 0804456072
Legal Registered Office Address: 900 WILSHIRE DR STE 205

TROY
United States of America (USA)
48084

More information about ENTREGA SYSTEMS GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01TODD ROLESTON2024-09-20
5012022-01-01TODD ROLESTON2023-07-31
5012021-01-01TODD ROLESTON2022-10-13

Form 5500 Responses for ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN

2023: ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number402959
Policy instance 1
Insurance contract or identification number402959
Number of Individuals Covered102
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $18,006
Total amount of fees paid to insurance companyUSD $508
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $387,926
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number402959
Policy instance 2
Insurance contract or identification number402959
Number of Individuals Covered148
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $37,031
Total amount of fees paid to insurance companyUSD $965
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $753,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1027163
Policy instance 3
Insurance contract or identification number1027163
Number of Individuals Covered298
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $22,452
Total amount of fees paid to insurance companyUSD $5,776
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $209,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number402959
Policy instance 1
Insurance contract or identification number402959
Number of Individuals Covered77
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,757
Total amount of fees paid to insurance companyUSD $516
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $240,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number402959
Policy instance 2
Insurance contract or identification number402959
Number of Individuals Covered169
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $19,096
Total amount of fees paid to insurance companyUSD $708
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $710,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1027163
Policy instance 3
Insurance contract or identification number1027163
Number of Individuals Covered288
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $19,727
Total amount of fees paid to insurance companyUSD $4,853
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $201,782
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number402959
Policy instance 1
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number402959
Policy instance 2
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1027163
Policy instance 3

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