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PHARMCORD HEALTH AND WELLNESS PLAN 401k Plan overview

Plan NamePHARMCORD HEALTH AND WELLNESS PLAN
Plan identification number 501

PHARMCORD HEALTH AND WELLNESS 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

PHARMACORD has sponsored the creation of one or more 401k plans.

Company Name:PHARMACORD
Employer identification number (EIN):814387992
NAIC Classification:446110
NAIC Description:Pharmacies and Drug Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHARMCORD HEALTH AND WELLNESS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-11-01PATRICK LEE2024-10-09
5012022-11-01PATRICK LEE2024-08-06
5012021-11-01PATRICK LEE2023-07-10
5012020-11-01PATRICK LEE2022-05-23
5012019-11-01PATRICK LEE2021-07-24

Form 5500 Responses for PHARMCORD HEALTH AND WELLNESS PLAN

2023: PHARMCORD HEALTH AND WELLNESS PLAN 2023 form 5500 responses
2023-11-01Type of plan entitySingle employer plan
2023-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-11-01Plan funding arrangement – InsuranceYes
2023-11-01Plan funding arrangement – General assets of the sponsorYes
2023-11-01Plan benefit arrangement – InsuranceYes
2023-11-01Plan benefit arrangement – General assets of the sponsorYes
2022: PHARMCORD HEALTH AND WELLNESS PLAN 2022 form 5500 responses
2022-11-01Type of plan entitySingle employer plan
2022-11-01Plan funding arrangement – InsuranceYes
2022-11-01Plan funding arrangement – General assets of the sponsorYes
2022-11-01Plan benefit arrangement – InsuranceYes
2022-11-01Plan benefit arrangement – General assets of the sponsorYes
2021: PHARMCORD HEALTH AND WELLNESS PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan funding arrangement – General assets of the sponsorYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – General assets of the sponsorYes
2020: PHARMCORD HEALTH AND WELLNESS PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan funding arrangement – General assets of the sponsorYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – General assets of the sponsorYes
2019: PHARMCORD HEALTH AND WELLNESS PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01First time form 5500 has been submittedYes
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan 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 number40145
Policy instance 2
Insurance contract or identification number40145
Number of Individuals Covered1141
Insurance policy start date2023-11-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $17,150
Total amount of fees paid to insurance companyUSD $0
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, ACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $136,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 54739 )
Policy contract number778148
Policy instance 1
Insurance contract or identification number778148
Number of Individuals Covered822
Insurance policy start date2023-11-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $2,161
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,247
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number40145
Policy instance 2
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 54739 )
Policy contract number778148
Policy instance 1
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number26991
Policy instance 3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1117915
Policy instance 2
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 54739 )
Policy contract number778148
Policy instance 1
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number26991
Policy instance 4
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1117915
Policy instance 3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 54739 )
Policy contract number778148
Policy instance 2
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number778148
Policy instance 1
HUMANA INSURANCE COMPANY OF KENTUCKY INC (National Association of Insurance Commissioners NAIC id number: 60219 )
Policy contract number778148
Policy instance 3
COMPBENEFITS (National Association of Insurance Commissioners NAIC id number: 54739 )
Policy contract number778148
Policy instance 2
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number778148
Policy instance 1

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