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SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 401k Plan overview

Plan NameSAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN
Plan identification number 502

SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Other welfare benefit cover

401k Sponsoring company profile

SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES, P.A. has sponsored the creation of one or more 401k plans.

Company Name:SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES, P.A.
Employer identification number (EIN):741895428
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES, P.A.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1976-12-30
Company Identification Number: 0080316603
Legal Registered Office Address: 4775 HAMILTON WOLFE RD STE 1

SAN ANTONIO
United States of America (USA)
78229

More information about SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES, P.A.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-06-01PATRICK BROWN
5022015-06-01PATRICK BROWN
5022014-06-01CAROL HUESERS
5022013-06-01REBECCA DAVIS
5022012-06-01PAUL MACK
5022011-06-01DIANA HENDERSON

Plan Statistics for SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN

401k plan membership statisitcs for SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN

Measure Date Value
2016: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-01369
Total number of active participants reported on line 7a of the Form 55002016-06-01319
Total of all active and inactive participants2016-06-01319
Total participants2016-06-01319
2015: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01369
Total number of active participants reported on line 7a of the Form 55002015-06-01369
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01369
Total participants2015-06-01369
2014: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01365
Total number of active participants reported on line 7a of the Form 55002014-06-01359
Number of retired or separated participants receiving benefits2014-06-010
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-01359
2013: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01292
Total number of active participants reported on line 7a of the Form 55002013-06-01365
Number of retired or separated participants receiving benefits2013-06-010
Number of other retired or separated participants entitled to future benefits2013-06-010
Total of all active and inactive participants2013-06-01365
2012: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01303
Total number of active participants reported on line 7a of the Form 55002012-06-01292
Number of retired or separated participants receiving benefits2012-06-010
Number of other retired or separated participants entitled to future benefits2012-06-010
Total of all active and inactive participants2012-06-01292
2011: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-01316
Total number of active participants reported on line 7a of the Form 55002011-06-01303
Number of retired or separated participants receiving benefits2011-06-010
Number of other retired or separated participants entitled to future benefits2011-06-010
Total of all active and inactive participants2011-06-01303

Form 5500 Responses for SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN

2016: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes
2015: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES LIFE, DENTAL AD&D INSURANCE PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05774039
Policy instance 1
Insurance contract or identification numberKM05774039
Number of Individuals Covered369
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $5,474
Total amount of fees paid to insurance companyUSD $325
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $89,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,205
Amount paid for insurance broker fees325
Additional information about fees paid to insurance brokerBASE COMMISSIONS AND SUPPLEMENTAL COMP
Insurance broker organization code?3
Insurance broker nameVICTORY BENEFITS ADVISORS INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05774039
Policy instance 1
Insurance contract or identification numberKM05774039
Number of Individuals Covered359
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $4,720
Total amount of fees paid to insurance companyUSD $153
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
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 CarrierUSD $62,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,726
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBASE COMMISSIONS
Insurance broker organization code?3
Insurance broker nameSWBC LIFE INS AGENCY INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05774039
Policy instance 1
Insurance contract or identification numberKM05774039
Number of Individuals Covered365
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $4,718
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
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 CarrierUSD $60,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,359
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBASE COMMISSIONS
Insurance broker organization code?3
Insurance broker nameRIEL KNUTH
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05774039
Policy instance 1
Insurance contract or identification numberKM05774039
Number of Individuals Covered292
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $4,778
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
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 CarrierUSD $57,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,389
Insurance broker organization code?3
Insurance broker nameRIEL KNUTH
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05774039
Policy instance 1
Insurance contract or identification numberKM05774039
Number of Individuals Covered303
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $4,636
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedADD
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 CarrierUSD $52,692
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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