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PREMIER MEDICAL STAFFING SERVICES MEDICAL BENEFIT PLAN 401k Plan overview

Plan NamePREMIER MEDICAL STAFFING SERVICES MEDICAL BENEFIT PLAN
Plan identification number 503

PREMIER MEDICAL STAFFING SERVICES MEDICAL BENEFIT PLAN Benefits

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

401k Sponsoring company profile

PREMIER MEDICAL STAFFING SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name:PREMIER MEDICAL STAFFING SERVICES, LLC
Employer identification number (EIN):392043047
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER MEDICAL STAFFING SERVICES MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01JAZZMINE KLOPACK2024-07-26

Plan Statistics for PREMIER MEDICAL STAFFING SERVICES MEDICAL BENEFIT PLAN

401k plan membership statisitcs for PREMIER MEDICAL STAFFING SERVICES MEDICAL BENEFIT PLAN

Measure Date Value
2023: PREMIER MEDICAL STAFFING SERVICES MEDICAL BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01101
Total number of active participants reported on line 7a of the Form 55002023-01-0190
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-0190

Form 5500 Responses for PREMIER MEDICAL STAFFING SERVICES MEDICAL BENEFIT PLAN

2023: PREMIER MEDICAL STAFFING SERVICES MEDICAL BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01First time form 5500 has been submittedYes
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
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

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number04U3087
Policy instance 1
Insurance contract or identification number04U3087
Number of Individuals Covered113
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $30,933
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,097,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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