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EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameEMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN
Plan identification number 501

EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE 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)
  • Long-term disability cover

401k Sponsoring company profile

EMERGENCY PHYSICIANS MEDICAL GROUP P.C. has sponsored the creation of one or more 401k plans.

Company Name:EMERGENCY PHYSICIANS MEDICAL GROUP P.C.
Employer identification number (EIN):382423814
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01MICHAEL GILLEN
5012015-01-01MICHAEL GILLEN
5012014-01-01MICHAEL GILLEN
5012014-01-01MICHAEL GILLEN MICHAEL GILLEN
5012014-01-01MICHAEL GILLEN MICHAEL GILLEN
5012014-01-01MICHAEL GILLEN
5012013-01-01MICHAEL GILLEN
5012012-01-01MICHAEL GILLEN
5012011-01-01MICHAEL GILLEN
5012010-01-01MICHAEL GILLEN MICHAEL GILLEN2011-08-30
5012009-01-01MICHAEL GILLEN MICHAEL GILLEN2010-10-14

Plan Statistics for EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN

Measure Date Value
2016: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01298
Total number of active participants reported on line 7a of the Form 55002016-01-01307
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01309
2015: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01385
Total number of active participants reported on line 7a of the Form 55002015-01-01298
Number of retired or separated participants receiving benefits2015-01-0113
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01311
2014: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01376
Total number of active participants reported on line 7a of the Form 55002014-01-01385
Number of retired or separated participants receiving benefits2014-01-0112
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01397
2013: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01373
Total number of active participants reported on line 7a of the Form 55002013-01-01376
Number of retired or separated participants receiving benefits2013-01-0112
Total of all active and inactive participants2013-01-01388
2012: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01366
Total number of active participants reported on line 7a of the Form 55002012-01-01360
Number of retired or separated participants receiving benefits2012-01-0113
Total of all active and inactive participants2012-01-01373
2011: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01343
Total number of active participants reported on line 7a of the Form 55002011-01-01353
Number of retired or separated participants receiving benefits2011-01-0113
Total of all active and inactive participants2011-01-01366
2010: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01238
Total number of active participants reported on line 7a of the Form 55002010-01-01330
Number of retired or separated participants receiving benefits2010-01-0113
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01343
2009: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01265
Total number of active participants reported on line 7a of the Form 55002009-01-01229
Number of retired or separated participants receiving benefits2009-01-019
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01238
Total participants2009-01-01238

Form 5500 Responses for EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN

2016: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Submission has been amendedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entityMulitple employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: EMERGENCY PHYSICIANS MEDICAL GROUP, PC EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

OPTIMAL PROFESSIONAL ASSURANCE LTD (National Association of Insurance Commissioners NAIC id number: 16901 )
Policy contract numberOPAL-01-2015
Policy instance 1
Insurance contract or identification numberOPAL-01-2015
Number of Individuals Covered311
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Welfare Benefit Premiums Paid to CarrierUSD $644,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30011240
Policy instance 3
Insurance contract or identification number30011240
Number of Individuals Covered306
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number573163
Policy instance 2
Insurance contract or identification number573163
Number of Individuals Covered797
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $74,449
Total amount of fees paid to insurance companyUSD $5,823
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,449
Insurance broker organization code?3
Amount paid for insurance broker fees5823
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC
OPTIMAL PROFESSIONAL ASSURANCE LTD (National Association of Insurance Commissioners NAIC id number: 16901 )
Policy contract numberOPAL-01-2014
Policy instance 1
Insurance contract or identification numberOPAL-01-2014
Number of Individuals Covered388
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Welfare Benefit Premiums Paid to CarrierUSD $579,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number573163
Policy instance 2
Insurance contract or identification number573163
Number of Individuals Covered799
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $74,586
Total amount of fees paid to insurance companyUSD $6,984
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,107
Amount paid for insurance broker fees4055
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30011240
Policy instance 3
Insurance contract or identification number30011240
Number of Individuals Covered305
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OPTIMAL PROFESSIONAL ASSURANCE LTD (National Association of Insurance Commissioners NAIC id number: 16901 )
Policy contract numberOPAL-01-2013
Policy instance 1
Insurance contract or identification numberOPAL-01-2013
Number of Individuals Covered388
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Welfare Benefit Premiums Paid to CarrierUSD $533,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number573163
Policy instance 2
Insurance contract or identification number573163
Number of Individuals Covered789
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $73,067
Total amount of fees paid to insurance companyUSD $5,210
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,067
Amount paid for insurance broker fees5210
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30011240
Policy instance 3
Insurance contract or identification number30011240
Number of Individuals Covered304
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
OPTIMAL PROFESSIONAL ASSURANCE LTD (National Association of Insurance Commissioners NAIC id number: 16901 )
Policy contract numberOPAL-01-2012
Policy instance 1
Insurance contract or identification numberOPAL-01-2012
Number of Individuals Covered373
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Welfare Benefit Premiums Paid to CarrierUSD $445,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30011240
Policy instance 3
Insurance contract or identification number30011240
Number of Individuals Covered299
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number573163
Policy instance 2
Insurance contract or identification number573163
Number of Individuals Covered764
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $62,560
Total amount of fees paid to insurance companyUSD $4,820
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,560
Amount paid for insurance broker fees4820
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number214553
Policy instance 1
Insurance contract or identification number214553
Number of Individuals Covered263
Insurance policy start date2011-01-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $47,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number573163
Policy instance 2
Insurance contract or identification number573163
Number of Individuals Covered631
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $56,128
Total amount of fees paid to insurance companyUSD $4,048
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30011240
Policy instance 3
Insurance contract or identification number30011240
Number of Individuals Covered140
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,525
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number214553
Policy instance 1
Insurance contract or identification number214553
Number of Individuals Covered277
Insurance policy start date2010-09-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $14,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,669
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number573163
Policy instance 2
Insurance contract or identification number573163
Number of Individuals Covered330
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $33,578
Total amount of fees paid to insurance companyUSD $1,399
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,578
Amount paid for insurance broker fees1399
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameHYLANT GROUP INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010001612
Policy instance 3
Insurance contract or identification number000010001612
Number of Individuals Covered324
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $28,532
Total amount of fees paid to insurance companyUSD $5,913
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,532
Insurance broker organization code?3
Amount paid for insurance broker fees5913
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameHYLANT GROUP INC
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-011477-000
Policy instance 4
Insurance contract or identification number16-011477-000
Number of Individuals Covered244
Insurance policy start date2009-09-01
Insurance policy end date2010-08-31
Total amount of commissions paid to insurance brokerUSD $45,810
Total amount of fees paid to insurance companyUSD $4,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,660
Insurance broker organization code?5
Amount paid for insurance broker fees4575
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker nameHYLANT GROUP INC

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