401k Plan data: ASCENTIST, LLC BENEFIT PLAN plan

ASCENTIST, LLC BENEFIT PLAN 401k Plan overview

Plan Name	ASCENTIST, LLC BENEFIT PLAN
Plan identification number	501

ASCENTIST, LLC BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance

401k Sponsoring company profile

ASCENTIST, LLC has sponsored the creation of one or more 401k plans.

Company Name: ASCENTIST, LLC

Employer identification number (EIN): 814598060

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASCENTIST, LLC BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01

Plan Statistics for ASCENTIST, LLC BENEFIT PLAN

401k plan membership statisitcs for ASCENTIST, LLC BENEFIT PLAN

Measure Date Value
2022: ASCENTIST, LLC BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 237
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 237
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 2022-01-01 237

Measure	Date	Value
2022: ASCENTIST, LLC BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	237
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	237
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	237

Form 5500 Responses for ASCENTIST, LLC BENEFIT PLAN

2022: ASCENTIST, LLC BENEFIT 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 benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

164018

Policy instance

Insurance contract or identification number	164018
Number of Individuals Covered	237
Insurance policy start date	2021-04-01
Insurance policy end date	2022-03-31
Total amount of commissions paid to insurance broker	USD $1,529
Life Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,221
Insurance broker organization code?	3

AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )

Policy contract number

UG368

Policy instance

Insurance contract or identification number	UG368
Number of Individuals Covered	17
Insurance policy start date	2021-04-01
Insurance policy end date	2022-03-31
Total amount of commissions paid to insurance broker	USD $4,751
Total amount of fees paid to insurance company	USD $182
Other welfare benefits provided	VOLUNTARY BENEFITS
Welfare Benefit Premiums Paid to Carrier	USD $27,840
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $973
Amount paid for insurance broker fees	30
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

BLUE CROSS AND BLUE SHIELD OF KANSAS CITY (National Association of Insurance Commissioners NAIC id number: 47171 )

Policy contract number

46016000

Policy instance

Insurance contract or identification number	46016000
Number of Individuals Covered	341
Insurance policy start date	2021-04-01
Insurance policy end date	2022-03-31
Total amount of commissions paid to insurance broker	USD $40,393
Total amount of fees paid to insurance company	USD $23,281
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $40,393
Amount paid for insurance broker fees	23281
Additional information about fees paid to insurance broker	ADMINISTRATIVE SERVICES
Insurance broker organization code?	3

DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )

Policy contract number

19512046

Policy instance

Insurance contract or identification number	19512046
Number of Individuals Covered	365
Insurance policy start date	2021-04-01
Insurance policy end date	2022-03-31
Total amount of commissions paid to insurance broker	USD $5,656
Total amount of fees paid to insurance company	USD $927
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $121,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,656
Amount paid for insurance broker fees	927
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

ADVANTICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12278 )

Policy contract number

901, 902, 903

Policy instance

Insurance contract or identification number	901, 902, 903
Number of Individuals Covered	297
Insurance policy start date	2021-04-01
Insurance policy end date	2022-03-31
Total amount of commissions paid to insurance broker	USD $468
Total amount of fees paid to insurance company	USD $45
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $17,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $468
Amount paid for insurance broker fees	45
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

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Company Name:	ASCENTIST, LLC
Employer identification number (EIN):	814598060
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)