401k Plan data: NEPHRON PHARMACEUTICALS CORPORATION HEALTH AND WELFARE BENEFIT PLAN plan

NEPHRON PHARMACEUTICALS CORPORATION HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	NEPHRON PHARMACEUTICALS CORPORATION HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

NEPHRON PHARMACEUTICALS CORPORATION 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) Other welfare benefit cover

401k Sponsoring company profile

NEPHRON PHARMACEUTICALS CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: NEPHRON PHARMACEUTICALS CORPORATION

Employer identification number (EIN): 453731316

NAIC Classification: 325410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEPHRON PHARMACEUTICALS CORPORATION HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 NOLA GRANT 2023-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01	NOLA GRANT	2023-10-13

Plan Statistics for NEPHRON PHARMACEUTICALS CORPORATION HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for NEPHRON PHARMACEUTICALS CORPORATION HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2022: NEPHRON PHARMACEUTICALS CORPORATION HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,122
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,127
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 1,127
Number of employers contributing to the scheme 2022-01-01 0

Measure	Date	Value
2022: NEPHRON PHARMACEUTICALS CORPORATION HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,122
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,127
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	1,127
Number of employers contributing to the scheme	2022-01-01	0

Form 5500 Responses for NEPHRON PHARMACEUTICALS CORPORATION HEALTH AND WELFARE BENEFIT PLAN

2022: NEPHRON PHARMACEUTICALS CORPORATION 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 funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E5522529

Policy instance

Insurance contract or identification number	E5522529
Number of Individuals Covered	1127
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $190,551
Total amount of fees paid to insurance company	USD $25,538
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $622,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $70,474
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	FEES

DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )

Policy contract number

22010471

Policy instance

Insurance contract or identification number	22010471
Number of Individuals Covered	1136
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $5,505
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $77,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,505
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

308770

Policy instance

Insurance contract or identification number	308770
Number of Individuals Covered	1127
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $69,408
Total amount of fees paid to insurance company	USD $0
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, EMPLOYEE ASSISTANCE PROGRAM, TELEHEALTH
Welfare Benefit Premiums Paid to Carrier	USD $370,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $69,408
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )

Policy contract number

1210290

Policy instance

Insurance contract or identification number	1210290
Number of Individuals Covered	1347
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $49,266
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $367,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $49,266
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

Potentially related plans

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Company Name:	NEPHRON PHARMACEUTICALS CORPORATION
Employer identification number (EIN):	453731316
NAIC Classification:	325410