401k Plan data: INDELIBLE MANAGEMENT SOLUTIONS, INC. HEALTH AND WELFARE PLAN plan

INDELIBLE MANAGEMENT SOLUTIONS, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	INDELIBLE MANAGEMENT SOLUTIONS, INC. HEALTH AND WELFARE PLAN
Plan identification number	501

INDELIBLE MANAGEMENT SOLUTIONS, INC. HEALTH AND WELFARE PLAN 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

INDELIBLE MANAGEMENT SOLUTIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name: INDELIBLE MANAGEMENT SOLUTIONS, INC.

Employer identification number (EIN): 881443733

NAIC Classification: 541600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDELIBLE MANAGEMENT SOLUTIONS, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 SARAH DAVIES 2024-07-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	SARAH DAVIES	2024-07-26

Form 5500 Responses for INDELIBLE MANAGEMENT SOLUTIONS, INC. HEALTH AND WELFARE PLAN

2023: INDELIBLE MANAGEMENT SOLUTIONS, INC. HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )

Policy contract number

K3146

Policy instance

Insurance contract or identification number	K3146
Number of Individuals Covered	101
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $56,628
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

FLORIDA COMBINED LIFE INSURANCE COMPANY, INC. (National Association of Insurance Commissioners NAIC id number: 76031 )

Policy contract number

Y2523-2W6U42

Policy instance

Insurance contract or identification number	Y2523-2W6U42
Number of Individuals Covered	114
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $8,014
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $86,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 95089 )

Policy contract number

K3146

Policy instance

Insurance contract or identification number	K3146
Number of Individuals Covered	8
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $4,119
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

171029

Policy instance

Insurance contract or identification number	171029
Number of Individuals Covered	152
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $20,278
Total amount of fees paid to insurance company	USD $11,255
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS, HOSPITAL,ACCIDENTAL DEATH AND DISMEMBERMENT,EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $37,103
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	INDELIBLE MANAGEMENT SOLUTIONS, INC.
Employer identification number (EIN):	881443733
NAIC Classification:	541600