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SOAR AUTISM BENEFIT PLAN 401k Plan overview

Plan NameSOAR AUTISM BENEFIT PLAN
Plan identification number 501

SOAR AUTISM 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)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

SOAR HEALTH INC. has sponsored the creation of one or more 401k plans.

Company Name:SOAR HEALTH INC.
Employer identification number (EIN):853794496
NAIC Classification:621112
NAIC Description:Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOAR AUTISM BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-03-01JENNIFER GOLDSTEIN2024-09-06

Plan Statistics for SOAR AUTISM BENEFIT PLAN

401k plan membership statisitcs for SOAR AUTISM BENEFIT PLAN

Measure Date Value
2023: SOAR AUTISM BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-03-01100
Total number of active participants reported on line 7a of the Form 55002023-03-01245
Number of retired or separated participants receiving benefits2023-03-010
Number of other retired or separated participants entitled to future benefits2023-03-010
Total of all active and inactive participants2023-03-01245
Number of employers contributing to the scheme2023-03-010

Form 5500 Responses for SOAR AUTISM BENEFIT PLAN

2023: SOAR AUTISM BENEFIT PLAN 2023 form 5500 responses
2023-03-01Type of plan entitySingle employer plan
2023-03-01First time form 5500 has been submittedYes
2023-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. (National Association of Insurance Commissioners NAIC id number: 11011 )
Policy contract numberH45119
Policy instance 1
Insurance contract or identification numberH45119
Number of Individuals Covered189
Insurance policy start date2023-03-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $36,551
Total amount of fees paid to insurance companyUSD $7
Health Insurance Welfare BenefitYes
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $722,498
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 number585316
Policy instance 2
Insurance contract or identification number585316
Number of Individuals Covered245
Insurance policy start date2023-03-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $14,267
Total amount of fees paid to insurance companyUSD $3,127
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $151,118
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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