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NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 401k Plan overview

Plan NameNORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN
Plan identification number 502

NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN Benefits

401k Plan TypeWelfare 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

NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA has sponsored the creation of one or more 401k plans.

Company Name:NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA
Employer identification number (EIN):593114490
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1992-04-01
Company Identification Number: V26005
Legal Registered Office Address: 915 WEST MONROE ST

JACKSONVILLE

32204

More information about NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-10-01DAVID MAYER2023-04-13
5022020-10-01DAVID MAYER2022-04-25
5022019-10-01DAVID MAYER2021-03-10
5022018-10-01DAVID MAYER2020-05-07
5022017-10-01DAVID MAYER2019-04-30
5022016-10-01

Plan Statistics for NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN

401k plan membership statisitcs for NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN

Measure Date Value
2021: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01105
Total number of active participants reported on line 7a of the Form 55002021-10-01124
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01124
Number of employers contributing to the scheme2021-10-010
2020: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01112
Total number of active participants reported on line 7a of the Form 55002020-10-01105
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-0110
Total of all active and inactive participants2020-10-01115
Number of employers contributing to the scheme2020-10-010
2019: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01108
Total number of active participants reported on line 7a of the Form 55002019-10-01111
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01111
Number of employers contributing to the scheme2019-10-010
2018: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01121
Total number of active participants reported on line 7a of the Form 55002018-10-01108
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01108
Number of employers contributing to the scheme2018-10-010
2017: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01125
Total number of active participants reported on line 7a of the Form 55002017-10-01128
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-01128
Number of employers contributing to the scheme2017-10-010
2016: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01109
Total number of active participants reported on line 7a of the Form 55002016-10-01125
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-01125

Form 5500 Responses for NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN

2021: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – General assets of the sponsorYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – General assets of the sponsorYes
2020: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES P. A. BENEFITS PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01First time form 5500 has been submittedYes
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number552913
Policy instance 1
Insurance contract or identification number552913
Number of Individuals Covered124
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $20,625
Total amount of fees paid to insurance companyUSD $4,927
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $161,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,625
Amount paid for insurance broker fees4927
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract numberB0382
Policy instance 2
Insurance contract or identification numberB0382
Number of Individuals Covered26
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $15,707
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,707
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )
Policy contract numberB0382
Policy instance 3
Insurance contract or identification numberB0382
Number of Individuals Covered52
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $28,150
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,150
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number552913
Policy instance 1
Insurance contract or identification number552913
Number of Individuals Covered102
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $17,722
Total amount of fees paid to insurance companyUSD $6,956
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $139,184
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,722
Amount paid for insurance broker fees6956
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number552913
Policy instance 1
Insurance contract or identification number552913
Number of Individuals Covered111
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $18,229
Total amount of fees paid to insurance companyUSD $6,177
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $143,763
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,871
Amount paid for insurance broker fees6177
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number552913
Policy instance 1
Insurance contract or identification number552913
Number of Individuals Covered109
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $17,603
Total amount of fees paid to insurance companyUSD $2,087
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $131,136
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,603
Amount paid for insurance broker fees2087
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1056854
Policy instance 1
Insurance contract or identification number1056854
Number of Individuals Covered128
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $494
Total amount of fees paid to insurance companyUSD $98
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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