401k Plan data: BENEFIT MANAGEMENT SERVICES INC. plan

BENEFIT MANAGEMENT SERVICES INC. 401k Plan overview

Plan Name	BENEFIT MANAGEMENT SERVICES INC.
Plan identification number	503

BENEFIT MANAGEMENT SERVICES INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

INTEGRA EMPLOYER HEALTH, LLC has sponsored the creation of one or more 401k plans.

Company Name: INTEGRA EMPLOYER HEALTH, LLC

Employer identification number (EIN): 561392505

NAIC Classification: 524290

Additional information about INTEGRA EMPLOYER HEALTH, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2016-02-12

Company Identification Number: 0802390083

Legal Registered Office Address: PO BOX 211291

SAINT PAUL
United States of America (USA)
55121

More information about INTEGRA EMPLOYER HEALTH, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BENEFIT MANAGEMENT SERVICES INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2015-12-01 SHERYL L SIMMONS
503 2014-12-01 DAVID STOESSEL DAVID STOESSEL 2016-06-14
503 2013-12-01 DAVID STOESSEL DAVID STOESSEL 2015-09-14
503 2012-12-01 DAVID STOESSEL DAVID STOESSEL 2015-09-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2015-12-01	SHERYL L SIMMONS
503	2014-12-01	DAVID STOESSEL	DAVID STOESSEL	2016-06-14
503	2013-12-01	DAVID STOESSEL	DAVID STOESSEL	2015-09-14
503	2012-12-01	DAVID STOESSEL	DAVID STOESSEL	2015-09-14

Plan Statistics for BENEFIT MANAGEMENT SERVICES INC.

401k plan membership statisitcs for BENEFIT MANAGEMENT SERVICES INC.

Measure Date Value
2015: BENEFIT MANAGEMENT SERVICES INC. 2015 401k membership
Total participants, beginning-of-year 2015-12-01 121
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 125
Number of retired or separated participants receiving benefits 2015-12-01 1
Number of other retired or separated participants entitled to future benefits 2015-12-01 0
Total of all active and inactive participants 2015-12-01 126
2014: BENEFIT MANAGEMENT SERVICES INC. 2014 401k membership
Total participants, beginning-of-year 2014-12-01 108
Total number of active participants reported on line 7a of the Form 5500 2014-12-01 116
Number of retired or separated participants receiving benefits 2014-12-01 0
Number of other retired or separated participants entitled to future benefits 2014-12-01 0
Total of all active and inactive participants 2014-12-01 116
Total participants 2014-12-01 116
2013: BENEFIT MANAGEMENT SERVICES INC. 2013 401k membership
Total participants, beginning-of-year 2013-12-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-12-01 108
Number of retired or separated participants receiving benefits 2013-12-01 0
Number of other retired or separated participants entitled to future benefits 2013-12-01 0
Total of all active and inactive participants 2013-12-01 108
2012: BENEFIT MANAGEMENT SERVICES INC. 2012 401k membership
Total participants, beginning-of-year 2012-12-01 106
Total number of active participants reported on line 7a of the Form 5500 2012-12-01 103
Number of retired or separated participants receiving benefits 2012-12-01 0
Number of other retired or separated participants entitled to future benefits 2012-12-01 0
Total of all active and inactive participants 2012-12-01 103

Measure	Date	Value
2015: BENEFIT MANAGEMENT SERVICES INC. 2015 401k membership
Total participants, beginning-of-year	2015-12-01	121
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	125
Number of retired or separated participants receiving benefits	2015-12-01	1
Number of other retired or separated participants entitled to future benefits	2015-12-01	0
Total of all active and inactive participants	2015-12-01	126
2014: BENEFIT MANAGEMENT SERVICES INC. 2014 401k membership
Total participants, beginning-of-year	2014-12-01	108
Total number of active participants reported on line 7a of the Form 5500	2014-12-01	116
Number of retired or separated participants receiving benefits	2014-12-01	0
Number of other retired or separated participants entitled to future benefits	2014-12-01	0
Total of all active and inactive participants	2014-12-01	116
Total participants	2014-12-01	116
2013: BENEFIT MANAGEMENT SERVICES INC. 2013 401k membership
Total participants, beginning-of-year	2013-12-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-12-01	108
Number of retired or separated participants receiving benefits	2013-12-01	0
Number of other retired or separated participants entitled to future benefits	2013-12-01	0
Total of all active and inactive participants	2013-12-01	108
2012: BENEFIT MANAGEMENT SERVICES INC. 2012 401k membership
Total participants, beginning-of-year	2012-12-01	106
Total number of active participants reported on line 7a of the Form 5500	2012-12-01	103
Number of retired or separated participants receiving benefits	2012-12-01	0
Number of other retired or separated participants entitled to future benefits	2012-12-01	0
Total of all active and inactive participants	2012-12-01	103

Form 5500 Responses for BENEFIT MANAGEMENT SERVICES INC.

2015: BENEFIT MANAGEMENT SERVICES INC. 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Submission has been amended	No
2015-12-01	This submission is the final filing	No
2015-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-12-01	Plan is a collectively bargained plan	No
2015-12-01	Plan funding arrangement – Insurance	Yes
2015-12-01	Plan benefit arrangement – Insurance	Yes
2014: BENEFIT MANAGEMENT SERVICES INC. 2014 form 5500 responses
2014-12-01	Type of plan entity	Single employer plan
2014-12-01	Submission has been amended	No
2014-12-01	This submission is the final filing	No
2014-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-12-01	Plan is a collectively bargained plan	No
2014-12-01	Plan funding arrangement – Insurance	Yes
2014-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-12-01	Plan benefit arrangement – Insurance	Yes
2013: BENEFIT MANAGEMENT SERVICES INC. 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Submission has been amended	No
2013-12-01	This submission is the final filing	No
2013-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-12-01	Plan is a collectively bargained plan	No
2013-12-01	Plan funding arrangement – Insurance	Yes
2013-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-12-01	Plan benefit arrangement – Insurance	Yes
2012: BENEFIT MANAGEMENT SERVICES INC. 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Submission has been amended	No
2012-12-01	This submission is the final filing	No
2012-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-12-01	Plan is a collectively bargained plan	No
2012-12-01	Plan funding arrangement – Insurance	Yes
2012-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-12-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	INTEGRA EMPLOYER HEALTH, LLC
Employer identification number (EIN):	561392505
NAIC Classification:	524290

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2016-02-12
Company Identification Number:	0802390083
Legal Registered Office Address:	PO BOX 211291 SAINT PAUL United States of America (USA) 55121