401k Plan data: MYHEALTHTEAM HEALTH & WELFARE BENEFIT PLAN plan

MYHEALTHTEAM HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	MYHEALTHTEAM HEALTH & WELFARE BENEFIT PLAN
Plan identification number	501

MYHEALTHTEAM HEALTH & WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Death benefits (include travel accident but not life insurance) Other welfare benefit cover 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

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

Company Name: MYHEALTHTEAMS, INC.

Employer identification number (EIN): 454545875

NAIC Classification: 541600

Additional information about MYHEALTHTEAMS, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 5107466

More information about MYHEALTHTEAMS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MYHEALTHTEAM HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 JEN IRELAND 2024-08-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	JEN IRELAND	2024-08-21

Form 5500 Responses for MYHEALTHTEAM HEALTH & WELFARE BENEFIT PLAN

2023: MYHEALTHTEAM HEALTH & WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

720400

Policy instance

Insurance contract or identification number	720400
Number of Individuals Covered	27
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $8,262
Total amount of fees paid to insurance company	USD $176
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $163,737
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 number

930295

Policy instance

Insurance contract or identification number	930295
Number of Individuals Covered	104
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $40,706
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $814,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CLAREMONT (National Association of Insurance Commissioners NAIC id number: 61171 )

Policy contract number

15274703

Policy instance

Insurance contract or identification number	15274703
Number of Individuals Covered	94
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $225
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $4,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

15274703

Policy instance

Insurance contract or identification number	15274703
Number of Individuals Covered	160
Insurance policy start date	2022-05-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $11,185
Total amount of fees paid to insurance company	USD $1,597
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $160,642
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MYHEALTHTEAMS, INC.
Employer identification number (EIN):	454545875
NAIC Classification:	541600

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	5107466