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GROUP DISABILITY AND SUPPLEMENTAL MEDICAL PLAN FOR ATALIAN GLOBAL SERVICES, INC. 401k Plan overview

Plan NameGROUP DISABILITY AND SUPPLEMENTAL MEDICAL PLAN FOR ATALIAN GLOBAL SERVICES, INC.
Plan identification number 501

GROUP DISABILITY AND SUPPLEMENTAL MEDICAL PLAN FOR ATALIAN GLOBAL SERVICES, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ATALIAN US SHARED SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name:ATALIAN US SHARED SERVICES, LLC
Employer identification number (EIN):843977012

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP DISABILITY AND SUPPLEMENTAL MEDICAL PLAN FOR ATALIAN GLOBAL SERVICES, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01HALIM FARAJALLAH2024-02-02

Plan Statistics for GROUP DISABILITY AND SUPPLEMENTAL MEDICAL PLAN FOR ATALIAN GLOBAL SERVICES, INC.

401k plan membership statisitcs for GROUP DISABILITY AND SUPPLEMENTAL MEDICAL PLAN FOR ATALIAN GLOBAL SERVICES, INC.

Measure Date Value
2022: GROUP DISABILITY AND SUPPLEMENTAL MEDICAL PLAN FOR ATALIAN GLOBAL SERVICES, INC. 2022 401k membership
Total participants, beginning-of-year2022-07-01297
Total number of active participants reported on line 7a of the Form 55002022-07-01176
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01176
Number of employers contributing to the scheme2022-07-010

Form 5500 Responses for GROUP DISABILITY AND SUPPLEMENTAL MEDICAL PLAN FOR ATALIAN GLOBAL SERVICES, INC.

2022: GROUP DISABILITY AND SUPPLEMENTAL MEDICAL PLAN FOR ATALIAN GLOBAL SERVICES, INC. 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5369882
Policy instance 1
Insurance contract or identification number5369882
Number of Individuals Covered243
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $13,374
Total amount of fees paid to insurance companyUSD $4,840
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $89,131
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,374
Amount paid for insurance broker fees2675
Additional information about fees paid to insurance brokerTPA ADMINISTRATION FEES
Insurance broker organization code?5
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number14629
Policy instance 2
Insurance contract or identification number14629
Number of Individuals Covered9
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $310
Total amount of fees paid to insurance companyUSD $72
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $1,042
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $167
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES AND OTHER COMMISSIONS
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number908538
Policy instance 3
Insurance contract or identification number908538
Number of Individuals Covered153
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $66,170
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,990,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $57,113
Amount paid for insurance broker fees0
Insurance broker organization code?3
FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71005 )
Policy contract number137-001033
Policy instance 4
Insurance contract or identification number137-001033
Number of Individuals Covered255
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $1,621
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $1,621
Amount paid for insurance broker fees0
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberG167009
Policy instance 5
Insurance contract or identification numberG167009
Number of Individuals Covered250
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $34,604
Total amount of fees paid to insurance companyUSD $11,729
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENT,ACCIDENTAL DEATH AND DISMEMBERMENT,CRITICAL ILLNESS,HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $164,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,241
Amount paid for insurance broker fees9317
Additional information about fees paid to insurance brokerADMINISTRATIVE AND OTHER FEES
Insurance broker organization code?3

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