401k Plan data: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN plan

ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 401k Plan overview

Plan Name	ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN
Plan identification number	501

ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

ENERGY SYSTEMS SOUTHEAST, LLC has sponsored the creation of one or more 401k plans.

Company Name: ENERGY SYSTEMS SOUTHEAST, LLC

Employer identification number (EIN): 631278630

NAIC Classification: 221100

Additional information about ENERGY SYSTEMS SOUTHEAST, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 1994833

More information about ENERGY SYSTEMS SOUTHEAST, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 ALAN FRIDAY 2024-09-17
501 2022-01-01 ALAN FRIDAY 2023-07-13
501 2021-01-01 ALAN FRIDAY 2022-08-31
501 2020-01-01 ALAN FRIDAY 2022-08-31

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-01-01	ALAN FRIDAY	2024-09-17
501	2022-01-01	ALAN FRIDAY	2023-07-13
501	2021-01-01	ALAN FRIDAY	2022-08-31
501	2020-01-01	ALAN FRIDAY	2022-08-31

Plan Statistics for ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN

401k plan membership statisitcs for ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN

Measure Date Value
2023: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 193
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 193
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 193
Number of employers contributing to the scheme 2023-01-01 0
2022: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 196
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 193
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 193
Number of employers contributing to the scheme 2022-01-01 0
2021: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 193
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 193
Number of employers contributing to the scheme 2021-01-01 0
2020: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 149
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 149
Number of employers contributing to the scheme 2020-01-01 0

Measure	Date	Value
2023: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	193
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	193
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	193
Number of employers contributing to the scheme	2023-01-01	0
2022: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	196
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	193
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	193
Number of employers contributing to the scheme	2022-01-01	0
2021: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	193
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	193
Number of employers contributing to the scheme	2021-01-01	0
2020: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	149
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	149
Number of employers contributing to the scheme	2020-01-01	0

Form 5500 Responses for ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN

2023: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: ENERGY SYSTEMS SOUTHEAST MEDICAL PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	First time form 5500 has been submitted	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )

Policy contract number

67261

Policy instance

Insurance contract or identification number	67261
Number of Individuals Covered	322
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	ENERGY SYSTEMS SOUTHEAST, LLC
Employer identification number (EIN):	631278630
NAIC Classification:	221100

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	1994833