SOURCEHOV TAX, LLC HEALTH AND WELFARE PLAN 401k Plan overview
| Plan Name | SOURCEHOV TAX, LLC HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
SOURCEHOV TAX, LLC HEALTH AND WELFARE PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Life insurance
- Dental
- Vision
- Temporary disability (accident and sickness)
- Prepaid legal
- Long-term disability cover
- Death benefits (include travel accident but not life insurance)
- Other welfare benefit cover
|
401k Sponsoring company profile
SOURCEHOV TAX, LLC has sponsored the creation of one or more 401k plans.
Additional information about SOURCEHOV TAX, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2020-03-11 |
| Company Identification Number: | 0803571377 |
| Legal Registered Office Address: |
4150 INTERNATIONAL PLZ STE 650
FORT WORTH
United States of America (USA)
76109
|
More information about SOURCEHOV TAX, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan SOURCEHOV TAX, LLC HEALTH AND WELFARE PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2022-01-01 | SHERI KANELLOS | 2023-06-12 | | |
Plan Statistics for SOURCEHOV TAX, LLC HEALTH AND WELFARE PLAN
401k plan membership statisitcs for SOURCEHOV TAX, LLC HEALTH AND WELFARE PLAN
| Measure | Date | Value |
|---|
| 2022: SOURCEHOV TAX, LLC HEALTH AND WELFARE PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 149 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 173 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 2 |
| Total of all active and inactive participants | 2022-01-01 | 177 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
Form 5500 Responses for SOURCEHOV TAX, LLC HEALTH AND WELFARE PLAN
| 2022: SOURCEHOV TAX, LLC HEALTH AND WELFARE PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
Insurance Providers Used on plan
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 293455 |
| Policy instance | 1 |
| Insurance contract or identification number | 293455 | | Number of Individuals Covered | 229 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $69,995 | | Total amount of fees paid to insurance company | USD $777 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,369,070 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $69,995 | | Amount paid for insurance broker fees | 777 | | Additional information about fees paid to insurance broker | SPECIAL PROGRAMS | | Insurance broker organization code? | 3 |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | F025517 |
| Policy instance | 2 |
| Insurance contract or identification number | F025517 | | Number of Individuals Covered | 147 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $10,719 | | Total amount of fees paid to insurance company | USD $3,336 | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $108,406 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,719 | | Amount paid for insurance broker fees | 3336 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 9903660 |
| Policy instance | 3 |
| Insurance contract or identification number | 9903660 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $251 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | LEGAL | | Welfare Benefit Premiums Paid to Carrier | USD $2,288 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $251 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
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