401k Plan data: HEALTHMARK MEDICAL GROUP HEALTH AND WELFARE BENEFIT PLAN plan

HEALTHMARK MEDICAL GROUP HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	HEALTHMARK MEDICAL GROUP HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

HEALTHMARK MEDICAL GROUP HEALTH AND WELFARE BENEFIT 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)

401k Sponsoring company profile

HEALTHMARK MEDICAL GROUP, LLC DBA HEALTHMARK GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name: HEALTHMARK MEDICAL GROUP, LLC DBA HEALTHMARK GROUP, LLC

Employer identification number (EIN): 364581087

NAIC Classification: 561410
NAIC Description: Document Preparation Services

Additional information about HEALTHMARK MEDICAL GROUP, LLC DBA HEALTHMARK GROUP, LLC

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2005-09-29

Company Identification Number: 0800551481

Legal Registered Office Address: 325 N SAINT PAUL ST STE 1650

DALLAS
United States of America (USA)
75201

More information about HEALTHMARK MEDICAL GROUP, LLC DBA HEALTHMARK GROUP, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTHMARK MEDICAL GROUP HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 BART HOWE 2024-07-24
501 2022-01-01 BART HOWE 2023-04-22
501 2021-01-01 MATT HOWE 2022-08-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-01-01	BART HOWE	2024-07-24
501	2022-01-01	BART HOWE	2023-04-22
501	2021-01-01	MATT HOWE	2022-08-11

Form 5500 Responses for HEALTHMARK MEDICAL GROUP HEALTH AND WELFARE BENEFIT PLAN

2023: HEALTHMARK MEDICAL GROUP HEALTH AND WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: HEALTHMARK MEDICAL GROUP HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: HEALTHMARK MEDICAL GROUP HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

179273

Policy instance

Insurance contract or identification number	179273
Number of Individuals Covered	498
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $63,588
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,030,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F026258

Policy instance

Insurance contract or identification number	F026258
Number of Individuals Covered	592
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $21,249
Total amount of fees paid to insurance company	USD $3,374
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
Welfare Benefit Premiums Paid to Carrier	USD $152,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

179273

Policy instance

Insurance contract or identification number	179273
Number of Individuals Covered	317
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $53,627
Total amount of fees paid to insurance company	USD $2,482
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,580,636
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F026258

Policy instance

Insurance contract or identification number	F026258
Number of Individuals Covered	210
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $6,114
Total amount of fees paid to insurance company	USD $2,920
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $47,870
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 number

521940

Policy instance

Insurance contract or identification number	521940
Number of Individuals Covered	106
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $6,137
Total amount of fees paid to insurance company	USD $501
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
Welfare Benefit Premiums Paid to Carrier	USD $47,207
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

179273

Policy instance

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F026258

Policy instance

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

521940

Policy instance

Potentially related plans

HEALTHMARK MEDICAL INC 401 K PROFIT SHARING PLAN TRUST [EIN = 621866963]

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Company Name:	HEALTHMARK MEDICAL GROUP, LLC DBA HEALTHMARK GROUP, LLC
Employer identification number (EIN):	364581087
NAIC Classification:	561410
NAIC Description:	Document Preparation Services

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2005-09-29
Company Identification Number:	0800551481
Legal Registered Office Address:	325 N SAINT PAUL ST STE 1650 DALLAS United States of America (USA) 75201