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RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN 401k Plan overview

Plan NameRENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN
Plan identification number 502

RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

RENNOVA HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name:RENNOVA HEALTH, INC.
Employer identification number (EIN):680370244
NAIC Classification:541511
NAIC Description:Custom Computer Programming Services

Additional information about RENNOVA HEALTH, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date: 1995-09-20
Company Identification Number: 2545851
Legal Registered Office Address: 2711 Centerville Road
Suite 400
Wilmington
United States of America (USA)
19808

More information about RENNOVA HEALTH, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-01-01KAREN TAYLOR2021-08-04
5022019-01-01KAREN TAYLOR2020-08-06
5022018-01-01

Plan Statistics for RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN

401k plan membership statisitcs for RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN

Measure Date Value
2020: RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01163
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of employers contributing to the scheme2020-01-010
2019: RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01184
Total number of active participants reported on line 7a of the Form 55002019-01-01360
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01360
Number of employers contributing to the scheme2019-01-010
2018: RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01100
Total number of active participants reported on line 7a of the Form 55002018-01-01171
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01171
Number of employers contributing to the scheme2018-01-010

Form 5500 Responses for RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN

2020: RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: RENNOVA DENTAL, VISION, LIFE AND DISABILITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5372026
Policy instance 1
Insurance contract or identification number5372026
Number of Individuals Covered515
Insurance policy start date2020-01-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $15,128
Total amount of fees paid to insurance companyUSD $4,865
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, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $86,533
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,128
Amount paid for insurance broker fees3599
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5372026
Policy instance 1
Insurance contract or identification number5372026
Number of Individuals Covered848
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $33,599
Total amount of fees paid to insurance companyUSD $11,765
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, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $194,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,599
Amount paid for insurance broker fees7964
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05372026
Policy instance 1
Insurance contract or identification numberTS05372026
Number of Individuals Covered402
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $23,014
Total amount of fees paid to insurance companyUSD $9,039
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 $134,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,014
Amount paid for insurance broker fees5412
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5

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