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TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 401k Plan overview

Plan NameTWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE
Plan identification number 501

TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

TWIN CITIES SPINE SURGEONS LTD has sponsored the creation of one or more 401k plans.

Company Name:TWIN CITIES SPINE SURGEONS LTD
Employer identification number (EIN):410990689
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01

Plan Statistics for TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE

401k plan membership statisitcs for TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE

Measure Date Value
2022: TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 2022 401k membership
Total participants, beginning-of-year2022-01-01101
Total number of active participants reported on line 7a of the Form 55002022-01-0199
Total of all active and inactive participants2022-01-0199
Total participants2022-01-0199
2021: TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 2021 401k membership
Total participants, beginning-of-year2021-01-01106
Total number of active participants reported on line 7a of the Form 55002021-01-0199
Total of all active and inactive participants2021-01-0199
Total participants2021-01-0199
2020: TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 2020 401k membership
Total participants, beginning-of-year2020-01-01100
Total number of active participants reported on line 7a of the Form 55002020-01-01106
Total of all active and inactive participants2020-01-01106
Total participants2020-01-01106

Form 5500 Responses for TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE

2022: TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: TWIN CITIES SPINE SURGEONS DBA TWIN CITIES SPINE 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number920709
Policy instance 1
Insurance contract or identification number920709
Number of Individuals Covered99
Total amount of commissions paid to insurance brokerUSD $13,763
Total amount of fees paid to insurance companyUSD $165
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $175,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,763
Insurance broker organization code?3
Amount paid for insurance broker fees165
Additional information about fees paid to insurance brokerADMINISTRATIVE SERICES
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number920709
Policy instance 1
Insurance contract or identification number920709
Number of Individuals Covered99
Total amount of commissions paid to insurance brokerUSD $15,102
Total amount of fees paid to insurance companyUSD $180
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $193,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,102
Insurance broker organization code?3
Amount paid for insurance broker fees180
Additional information about fees paid to insurance brokerADMINISTRATIVE SERICES
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number920709
Policy instance 1
Insurance contract or identification number920709
Number of Individuals Covered106
Total amount of commissions paid to insurance brokerUSD $9,150
Total amount of fees paid to insurance companyUSD $180
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $116,104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,150
Amount paid for insurance broker fees180
Additional information about fees paid to insurance brokerADMINISTRATIVE SERICES
Insurance broker organization code?5

Potentially related plans

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