401k Plan data: NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN plan

NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN
Plan identification number	501

NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Other welfare benefit cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

MEDICAL ASSOCIATES OF SAVANNAH, P.C has sponsored the creation of one or more 401k plans.

Company Name: MEDICAL ASSOCIATES OF SAVANNAH, P.C

Employer identification number (EIN): 581052081

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 TRISH ROTUREAU 2024-02-28
501 2021-01-01 TRISH ROTUREAU 2022-08-24
501 2021-01-01 TRISH ROTUREAU 2024-03-18

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-01-01	TRISH ROTUREAU	2024-02-28
501	2021-01-01	TRISH ROTUREAU	2022-08-24
501	2021-01-01	TRISH ROTUREAU	2024-03-18

Plan Statistics for NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN

Measure Date Value
2023: NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 33
Total of all active and inactive participants 2023-01-01 33
2021: NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 41
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 41
Total of all active and inactive participants 2021-01-01 41

Measure	Date	Value
2023: NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	33
Total of all active and inactive participants	2023-01-01	33
2021: NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	41
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	41
Total of all active and inactive participants	2021-01-01	41

Form 5500 Responses for NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN

2023: NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: NEPHROLOGY & HYPERTENSION MEDICAL ASSOCIATES, P.C. EMPLOYEE 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	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

GRAVIE, INC (National Association of Insurance Commissioners NAIC id number: 52429 )

Policy contract number

CSJCL

Policy instance

Insurance contract or identification number	CSJCL
Number of Individuals Covered	33
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $11,690
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $340,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )

Policy contract number

834786

Policy instance

Insurance contract or identification number	834786
Number of Individuals Covered	41
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,667
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
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 Carrier	USD $31,651
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,667
Insurance broker organization code?	3

HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )

Policy contract number

834786

Policy instance

Insurance contract or identification number	834786
Number of Individuals Covered	31
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $15,840
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,840
Insurance broker organization code?	3

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Company Name:	MEDICAL ASSOCIATES OF SAVANNAH, P.C
Employer identification number (EIN):	581052081
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)