401k Plan data: ACCURATE HEALTHCARE, INC. HEALTH AND WELFARE PLAN plan

ACCURATE HEALTHCARE, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	ACCURATE HEALTHCARE, INC. HEALTH AND WELFARE PLAN
Plan identification number	501

ACCURATE HEALTHCARE, INC. HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare 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

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

Company Name: ACCURATE HEALTHCARE, INC.

Employer identification number (EIN): 450467180

NAIC Classification: 541219
NAIC Description: Other Accounting Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCURATE HEALTHCARE, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-02-01 AMY HOBBS 2024-06-11
501 2022-02-01 AMY HOBBS 2023-06-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-02-01	AMY HOBBS	2024-06-11
501	2022-02-01	AMY HOBBS	2023-06-23

Form 5500 Responses for ACCURATE HEALTHCARE, INC. HEALTH AND WELFARE PLAN

2023: ACCURATE HEALTHCARE, INC. HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-02-01	Type of plan entity	Single employer plan
2023-02-01	Plan funding arrangement – Insurance	Yes
2023-02-01	Plan benefit arrangement – Insurance	Yes
2022: ACCURATE HEALTHCARE, INC. HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-02-01	Type of plan entity	Single employer plan
2022-02-01	First time form 5500 has been submitted	Yes
2022-02-01	Plan funding arrangement – Insurance	Yes
2022-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

143325

Policy instance

Insurance contract or identification number	143325
Number of Individuals Covered	241
Insurance policy start date	2023-02-01
Insurance policy end date	2024-01-31
Total amount of commissions paid to insurance broker	USD $63,470
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,222,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

572311

Policy instance

Insurance contract or identification number	572311
Number of Individuals Covered	188
Insurance policy start date	2023-02-01
Insurance policy end date	2024-01-31
Total amount of commissions paid to insurance broker	USD $21,505
Total amount of fees paid to insurance company	USD $3,372
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $165,347
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )

Policy contract number

143325

Policy instance

Insurance contract or identification number	143325
Number of Individuals Covered	165
Insurance policy start date	2022-02-01
Insurance policy end date	2023-01-31
Total amount of commissions paid to insurance broker	USD $49,085
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $892,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

572311

Policy instance

Insurance contract or identification number	572311
Number of Individuals Covered	125
Insurance policy start date	2022-02-01
Insurance policy end date	2023-01-31
Total amount of commissions paid to insurance broker	USD $13,091
Total amount of fees paid to insurance company	USD $2,892
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $105,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ACCURATE HEALTHCARE, INC.
Employer identification number (EIN):	450467180
NAIC Classification:	541219
NAIC Description:	Other Accounting Services