401k Plan data: HIRETEAMMATE, INC. DBA HIREEZ BENEFIT PLAN plan

HIRETEAMMATE, INC. DBA HIREEZ BENEFIT PLAN 401k Plan overview

Plan Name	HIRETEAMMATE, INC. DBA HIREEZ BENEFIT PLAN
Plan identification number	501

HIRETEAMMATE, INC. DBA HIREEZ BENEFIT 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) Prepaid legal Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HIRE TEAM MATE, INC. has sponsored the creation of one or more 401k plans.

Company Name: HIRE TEAM MATE, INC.

Employer identification number (EIN): 473428078

NAIC Classification: 541511
NAIC Description: Custom Computer Programming Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HIRETEAMMATE, INC. DBA HIREEZ BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 ARTHUR STEIN 2024-07-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	ARTHUR STEIN	2024-07-15

Plan Statistics for HIRETEAMMATE, INC. DBA HIREEZ BENEFIT PLAN

401k plan membership statisitcs for HIRETEAMMATE, INC. DBA HIREEZ BENEFIT PLAN

Measure Date Value
2023: HIRETEAMMATE, INC. DBA HIREEZ BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 166
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 94
Number of retired or separated participants receiving benefits 2023-01-01 6
Number of other retired or separated participants entitled to future benefits 2023-01-01 2
Total of all active and inactive participants 2023-01-01 102
Number of employers contributing to the scheme 2023-01-01 0

Measure	Date	Value
2023: HIRETEAMMATE, INC. DBA HIREEZ BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	166
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	94
Number of retired or separated participants receiving benefits	2023-01-01	6
Number of other retired or separated participants entitled to future benefits	2023-01-01	2
Total of all active and inactive participants	2023-01-01	102
Number of employers contributing to the scheme	2023-01-01	0

Form 5500 Responses for HIRETEAMMATE, INC. DBA HIREEZ BENEFIT PLAN

2023: HIRETEAMMATE, INC. DBA HIREEZ 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

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

637611

Policy instance

Insurance contract or identification number	637611
Number of Individuals Covered	134
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $50,971
Total amount of fees paid to insurance company	USD $3,625
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $279,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

PRE-PAID LEGAL SERVICES DBA LEGAL SHIELD (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

303270

Policy instance

Insurance contract or identification number	303270
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 $1,151
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	LEGAL
Welfare Benefit Premiums Paid to Carrier	USD $4,977
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

236144

Policy instance

Insurance contract or identification number	236144
Number of Individuals Covered	35
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $12,499
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Welfare Benefit Premiums Paid to Carrier	USD $270,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

919486

Policy instance

Insurance contract or identification number	919486
Number of Individuals Covered	98
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $6,453
Total amount of fees paid to insurance company	USD $2,259
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $45,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PAUL REVERE VARIABLE ANNUITY INS. CO. (National Association of Insurance Commissioners NAIC id number: 67601 )

Policy contract number

919488

Policy instance

Insurance contract or identification number	919488
Number of Individuals Covered	23
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $4,071
Total amount of fees paid to insurance company	USD $666
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENT,CRITICAL ILLNESS,HOSPITAL
Welfare Benefit Premiums Paid to Carrier	USD $13,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	HIRE TEAM MATE, INC.
Employer identification number (EIN):	473428078
NAIC Classification:	541511
NAIC Description:	Custom Computer Programming Services