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APRICUS HEALTH VISION PLAN 401k Plan overview

Plan NameAPRICUS HEALTH VISION PLAN
Plan identification number 504

APRICUS HEALTH VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

APRICUS HEALTH MSO LLC has sponsored the creation of one or more 401k plans.

Company Name:APRICUS HEALTH MSO LLC
Employer identification number (EIN):851866635
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan APRICUS HEALTH VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042021-07-01GAUTAM GUPTA2022-08-18

Plan Statistics for APRICUS HEALTH VISION PLAN

401k plan membership statisitcs for APRICUS HEALTH VISION PLAN

Measure Date Value
2021: APRICUS HEALTH VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01100
Total number of active participants reported on line 7a of the Form 55002021-07-010
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-010
Number of employers contributing to the scheme2021-07-010

Form 5500 Responses for APRICUS HEALTH VISION PLAN

2021: APRICUS HEALTH VISION PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01First time form 5500 has been submittedYes
2021-07-01This submission is the final filingYes
2021-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 )
Policy contract number32823V
Policy instance 1
Insurance contract or identification number32823V
Number of Individuals Covered274
Insurance policy start date2021-07-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $554
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $554
Amount paid for insurance broker fees0
Insurance broker organization code?3

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