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CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameCODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN
Plan identification number 501

CODILIS & STAWIARSKI, P.C. WELFARE 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
  • Death benefits (include travel accident but not life insurance)
  • 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

CODILIS & STAWIARSKI, P.C. has sponsored the creation of one or more 401k plans.

Company Name:CODILIS & STAWIARSKI, P.C.
Employer identification number (EIN):840987847
NAIC Classification:541110
NAIC Description:Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-06-01LEO STAWIARSKI JR LEO STAWIARSKI JR2016-12-14
5012014-06-01LEO STAWIARSKI JR LEO STAWIARSKI JR2015-12-02
5012013-06-01LEO STAWIARSKI JR
5012012-06-01LEO STAWIARSKI JR
5012011-06-01LEO STAWIARSKI JR
5012009-06-01ANGELINA TURILLI
5012009-06-01 ANGELINA TURILLI2010-12-21

Plan Statistics for CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN

401k plan membership statisitcs for CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN

Measure Date Value
2015: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-0188
Total number of active participants reported on line 7a of the Form 55002015-06-0169
Number of retired or separated participants receiving benefits2015-06-011
Total of all active and inactive participants2015-06-0170
Total participants2015-06-0170
2014: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01124
Total number of active participants reported on line 7a of the Form 55002014-06-0188
Total of all active and inactive participants2014-06-0188
Total participants2014-06-0188
2013: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01276
Total number of active participants reported on line 7a of the Form 55002013-06-01123
Number of retired or separated participants receiving benefits2013-06-011
Total of all active and inactive participants2013-06-01124
Total participants2013-06-01124
2012: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01294
Total number of active participants reported on line 7a of the Form 55002012-06-01275
Number of retired or separated participants receiving benefits2012-06-011
Total of all active and inactive participants2012-06-01276
Total participants2012-06-01276
2011: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-01283
Total number of active participants reported on line 7a of the Form 55002011-06-01294
Total of all active and inactive participants2011-06-01294
Total participants2011-06-01294
2009: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-06-01263
Total number of active participants reported on line 7a of the Form 55002009-06-01302
Total of all active and inactive participants2009-06-01302
Total participants2009-06-01302

Form 5500 Responses for CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN

2015: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT 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: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT 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: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT 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: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT 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
2009: CODILIS & STAWIARSKI, P.C. WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05555178
Policy instance 2
Insurance contract or identification numberKM05555178
Number of Individuals Covered70
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $6,903
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $82,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,903
Insurance broker organization code?3
Insurance broker nameJOSEPH SNYDER
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number702185
Policy instance 1
Insurance contract or identification number702185
Number of Individuals Covered88
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $225,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number702185
Policy instance 2
Insurance contract or identification number702185
Number of Individuals Covered168
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $25,926
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $512,254
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,926
Insurance broker organization code?3
Insurance broker nameJOSEPH T SNYDER
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05555178
Policy instance 1
Insurance contract or identification numberKM05555178
Number of Individuals Covered169
Insurance policy start date2014-06-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $8,094
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $88,882
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,094
Insurance broker organization code?3
Insurance broker nameJOSEPH SNYDER
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05555178
Policy instance 1
Insurance contract or identification numberKM05555178
Number of Individuals Covered227
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $9,380
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $116,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,380
Insurance broker organization code?3
Insurance broker nameJOSEPH SNYDER
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number702185
Policy instance 2
Insurance contract or identification number702185
Number of Individuals Covered168
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $35,568
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $701,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,568
Insurance broker organization code?3
Insurance broker nameJOSEPH T SNYDER
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number702185
Policy instance 2
Insurance contract or identification number702185
Number of Individuals Covered100
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $41,012
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $745,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,012
Insurance broker organization code?3
Insurance broker nameJOSEPH T SNYDER
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05555178
Policy instance 1
Insurance contract or identification numberKM05555178
Number of Individuals Covered276
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $9,694
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $125,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,694
Insurance broker organization code?3
Insurance broker nameJOSEPH SNYDER
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05555178
Policy instance 1
Insurance contract or identification numberKM05555178
Number of Individuals Covered294
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $10,263
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $133,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number702185
Policy instance 2
Insurance contract or identification number702185
Number of Individuals Covered168
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $41,735
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $828,376
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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