AYERS/SAINT/GROSS MEDICAL PLAN 401k Plan overview
Plan Name | AYERS/SAINT/GROSS MEDICAL PLAN |
Plan identification number | 502 |
AYERS/SAINT/GROSS MEDICAL PLAN Benefits
401k Plan Type | Welfare Benefit |
Plan Features/Benefits | - Health (other than dental or vision)
- Dental
- Vision
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401k Sponsoring company profile
AYERS/SAINT/GROSS, INCORPORATED has sponsored the creation of one or more 401k plans.
Additional information about AYERS/SAINT/GROSS, INCORPORATED
Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
Incorporation Date: | |
Company Identification Number: | 3775614 |
More information about AYERS/SAINT/GROSS, INCORPORATED
Form 5500 Filing Information
Submission information for form 5500 for 401k plan AYERS/SAINT/GROSS MEDICAL PLAN
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2017-01-01 | CHRISTINE M. HURT | | CHRISTINE M. HURT | 2018-08-03 |
502 | 2016-01-01 | CHRISTINE HURT | | | |
502 | 2015-01-01 | GLENN W. BIRX | | | |
Plan Statistics for AYERS/SAINT/GROSS MEDICAL PLAN
401k plan membership statisitcs for AYERS/SAINT/GROSS MEDICAL PLAN
Measure | Date | Value |
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2017: AYERS/SAINT/GROSS MEDICAL PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 111 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
Total of all active and inactive participants | 2017-01-01 | 0 |
2016: AYERS/SAINT/GROSS MEDICAL PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 118 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 111 |
Number of retired or separated participants receiving benefits | 2016-01-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 1 |
Total of all active and inactive participants | 2016-01-01 | 113 |
2015: AYERS/SAINT/GROSS MEDICAL PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 109 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 122 |
Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
Total of all active and inactive participants | 2015-01-01 | 122 |
Form 5500 Responses for AYERS/SAINT/GROSS MEDICAL PLAN
2017: AYERS/SAINT/GROSS MEDICAL PLAN 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | This submission is the final filing | Yes |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2016: AYERS/SAINT/GROSS MEDICAL PLAN 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2015: AYERS/SAINT/GROSS MEDICAL PLAN 2015 form 5500 responses |
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2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | First time form 5500 has been submitted | Yes |
2015-01-01 | Plan funding arrangement – Insurance | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 ) |
Policy contract number | 7D99 |
Policy instance | 1 |
Insurance contract or identification number | 7D99 | Number of Individuals Covered | 0 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $46,384 | Total amount of fees paid to insurance company | USD $12,971 | Health Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $1,165,812 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $46,384 | Amount paid for insurance broker fees | 50 | Additional information about fees paid to insurance broker | NON-MONETARY INCENTIVE AMOUNT | Insurance broker organization code? | 3 | Insurance broker name | KELLY & ASSOCIATES INSURANCE GROUP |
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GHMSI (National Association of Insurance Commissioners NAIC id number: 53007 ) |
Policy contract number | 7D99 |
Policy instance | 2 |
Insurance contract or identification number | 7D99 | Number of Individuals Covered | 0 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $2,626 | Total amount of fees paid to insurance company | USD $2,739 | Dental Insurance Welfare Benefit | Yes | Vision Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $52,511 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Amount paid for insurance broker fees | 2739 | Additional information about fees paid to insurance broker | WHOLESALER FEE | Insurance broker organization code? | 5 | Commission paid to Insurance Broker | USD $2,626 | Insurance broker name | SUMMIT INSURANCE ADVISORS INC |
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CAREFIRST BLUECHOICE (National Association of Insurance Commissioners NAIC id number: 96202 ) |
Policy contract number | 7D99 |
Policy instance | 1 |
Insurance contract or identification number | 7D99 | Number of Individuals Covered | 120 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $39,096 | Total amount of fees paid to insurance company | USD $49 | Health Insurance Welfare Benefit | Yes | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $964,314 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $39,096 | Amount paid for insurance broker fees | 49 | Additional information about fees paid to insurance broker | NON-MONETARY INCENTIVE AMOUNT | Insurance broker organization code? | 3 | Insurance broker name | JAMES K BIGGAR |
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