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EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NameEMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN
Plan identification number 502

EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT 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)
  • Other welfare benefit cover

401k Sponsoring company profile

EMPLOYERS ONE SOURCE GROUP has sponsored the creation of one or more 401k plans.

Company Name:EMPLOYERS ONE SOURCE GROUP
Employer identification number (EIN):760576194
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Additional information about EMPLOYERS ONE SOURCE GROUP

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1998-07-02
Company Identification Number: 0149686000
Legal Registered Office Address: 1260 PIN OAK RD STE 102

KATY
United States of America (USA)
77494

More information about EMPLOYERS ONE SOURCE GROUP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-10-01CHRISTIAN GARZA2024-04-10
5022021-10-01MARY AGUILAR2023-03-02
5022020-10-01MARY AGUILAR2022-07-12
5022019-10-01MARY E. AGUILAR2021-02-01
5022018-10-01MARY E AGUILAR2020-04-16
5022017-10-01MARY E AGUILAR2020-03-06
5022017-10-01MARY E AGUILAR2019-07-11

Plan Statistics for EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2022: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01440
Total number of active participants reported on line 7a of the Form 55002022-10-01470
Number of retired or separated participants receiving benefits2022-10-010
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-01470
Number of employers contributing to the scheme2022-10-010
2021: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01530
Total number of active participants reported on line 7a of the Form 55002021-10-01440
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 participants2021-10-01440
Number of employers contributing to the scheme2021-10-010
2020: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01554
Total number of active participants reported on line 7a of the Form 55002020-10-01530
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01530
Number of employers contributing to the scheme2020-10-010
2019: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01617
Total number of active participants reported on line 7a of the Form 55002019-10-01554
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 participants2019-10-01554
Number of employers contributing to the scheme2019-10-010
2018: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01705
Total number of active participants reported on line 7a of the Form 55002018-10-01617
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 participants2018-10-01617
Number of employers contributing to the scheme2018-10-010
2017: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01705
Total number of active participants reported on line 7a of the Form 55002017-10-01705
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 participants2017-10-01705
Number of employers contributing to the scheme2017-10-010

Form 5500 Responses for EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN

2022: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – General assets of the sponsorYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – General assets of the sponsorYes
2021: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT 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: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – General assets of the sponsorYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – General assets of the sponsorYes
2019: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT 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: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – General assets of the sponsorYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – General assets of the sponsorYes
2017: EMPLOYERS ONE SOURCE GROUP HEALTH & WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01First time form 5500 has been submittedYes
2017-10-01Submission has been amendedYes
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – General assets of the sponsorYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberQ5655
Policy instance 3
SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 )
Policy contract number5347633
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5347633
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05347633
Policy instance 1
SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 )
Policy contract numberTS05347633
Policy instance 2
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberQ5655
Policy instance 3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberQ5655
Policy instance 3
SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 )
Policy contract number5347633
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05347633
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5347633
Policy instance 1
SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 )
Policy contract numberTS05347633
Policy instance 2
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberQ5655
Policy instance 3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number255035
Policy instance 4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5347633
Policy instance 1
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberQ5655
Policy instance 3
SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 )
Policy contract number5347633
Policy instance 2
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberQ5655
Policy instance 3
SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION (National Association of Insurance Commissioners NAIC id number: 95051 )
Policy contract numberTS05347633
Policy instance 2
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05347633
Policy instance 1
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberQ5655
Policy instance 3

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