401k Plan data: NERIO GROUP, INC. MEDICAL plan

NERIO GROUP, INC. MEDICAL 401k Plan overview

Plan Name	NERIO GROUP, INC. MEDICAL
Plan identification number	501

NERIO GROUP, INC. MEDICAL Benefits

401k Plan Type	Welfare 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

NERIO GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name: NERIO GROUP, INC.

Employer identification number (EIN): 822730501

NAIC Classification: 531210
NAIC Description: Offices of Real Estate Agents and Brokers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NERIO GROUP, INC. MEDICAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-09-01 ROBERT GRISKO 2020-06-25
501 2017-09-01

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2018-09-01	ROBERT GRISKO	2020-06-25
501	2017-09-01

Plan Statistics for NERIO GROUP, INC. MEDICAL

401k plan membership statisitcs for NERIO GROUP, INC. MEDICAL

Measure Date Value
2018: NERIO GROUP, INC. MEDICAL 2018 401k membership
Total participants, beginning-of-year 2018-09-01 131
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 0
Number of retired or separated participants receiving benefits 2018-09-01 0
Number of other retired or separated participants entitled to future benefits 2018-09-01 0
Total of all active and inactive participants 2018-09-01 0
Number of employers contributing to the scheme 2018-09-01 0
2017: NERIO GROUP, INC. MEDICAL 2017 401k membership
Total participants, beginning-of-year 2017-09-01 101
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 131
Number of retired or separated participants receiving benefits 2017-09-01 0
Number of other retired or separated participants entitled to future benefits 2017-09-01 0
Total of all active and inactive participants 2017-09-01 131
Number of employers contributing to the scheme 2017-09-01 0

Measure	Date	Value
2018: NERIO GROUP, INC. MEDICAL 2018 401k membership
Total participants, beginning-of-year	2018-09-01	131
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	0
Number of retired or separated participants receiving benefits	2018-09-01	0
Number of other retired or separated participants entitled to future benefits	2018-09-01	0
Total of all active and inactive participants	2018-09-01	0
Number of employers contributing to the scheme	2018-09-01	0
2017: NERIO GROUP, INC. MEDICAL 2017 401k membership
Total participants, beginning-of-year	2017-09-01	101
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	131
Number of retired or separated participants receiving benefits	2017-09-01	0
Number of other retired or separated participants entitled to future benefits	2017-09-01	0
Total of all active and inactive participants	2017-09-01	131
Number of employers contributing to the scheme	2017-09-01	0

Form 5500 Responses for NERIO GROUP, INC. MEDICAL

2018: NERIO GROUP, INC. MEDICAL 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	This submission is the final filing	Yes
2018-09-01	Plan funding arrangement – Insurance	Yes
2018-09-01	Plan benefit arrangement – Insurance	Yes
2017: NERIO GROUP, INC. MEDICAL 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05929777

Policy instance

Insurance contract or identification number	KM05929777
Number of Individuals Covered	211
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $15,814
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
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 $127,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,814
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

6W0702

Policy instance

Insurance contract or identification number	6W0702
Number of Individuals Covered	131
Insurance policy start date	2017-10-01
Insurance policy end date	2018-09-30
Total amount of commissions paid to insurance broker	USD $31,575
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $158,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $31,575
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

6W0702

Policy instance

Insurance contract or identification number	6W0702
Number of Individuals Covered	158
Insurance policy start date	2016-10-01
Insurance policy end date	2017-09-30
Total amount of commissions paid to insurance broker	USD $32,304
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $779,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	NERIO GROUP, INC.
Employer identification number (EIN):	822730501
NAIC Classification:	531210
NAIC Description:	Offices of Real Estate Agents and Brokers