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USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS 401k Plan overview

Plan NameUSCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS
Plan identification number 503

USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

USCA MANAGEMENT LLC has sponsored the creation of one or more 401k plans.

Company Name:USCA MANAGEMENT LLC
Employer identification number (EIN):900889322
NAIC Classification:523900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032018-09-01
5032017-09-01
5032016-09-01

Plan Statistics for USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS

401k plan membership statisitcs for USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS

Measure Date Value
2018: USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS 2018 401k membership
Total participants, beginning-of-year2018-09-01113
Total number of active participants reported on line 7a of the Form 55002018-09-010
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-010
2017: USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS 2017 401k membership
Total participants, beginning-of-year2017-09-01107
Total number of active participants reported on line 7a of the Form 55002017-09-01263
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01263
Number of employers contributing to the scheme2017-09-010
2016: USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS 2016 401k membership
Total participants, beginning-of-year2016-09-01111
Total number of active participants reported on line 7a of the Form 55002016-09-01107
Number of retired or separated participants receiving benefits2016-09-010
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-01107

Form 5500 Responses for USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS

2018: USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Submission has been amendedNo
2018-09-01This submission is the final filingYes
2018-09-01This return/report is a short plan year return/report (less than 12 months)No
2018-09-01Plan is a collectively bargained planNo
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – InsuranceYes
2017: USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: USCA MANAGEMENT COMPANY LLC MEDICAL BENEFITS 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01First time form 5500 has been submittedYes
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number106566
Policy instance 1
Insurance contract or identification number106566
Number of Individuals Covered273
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $94,096
Total amount of fees paid to insurance companyUSD $663
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,114,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $70,824
Amount paid for insurance broker fees663
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number106566
Policy instance 1
Insurance contract or identification number106566
Number of Individuals Covered263
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $91,506
Total amount of fees paid to insurance companyUSD $990
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,059,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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