401k Plan data: HEALTH PLUS MANAGEMENT plan

HEALTH PLUS MANAGEMENT 401k Plan overview

Plan Name	HEALTH PLUS MANAGEMENT
Plan identification number	501

HEALTH PLUS MANAGEMENT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HEALTH PLUS MANAGEMENT LLC has sponsored the creation of one or more 401k plans.

Company Name: HEALTH PLUS MANAGEMENT LLC

Employer identification number (EIN): 900818246

NAIC Classification: 451120
NAIC Description: Hobby, Toy, and Game Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH PLUS MANAGEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 DIANE CALABRESE 2023-10-09
501 2021-01-01 DIANE CALABRESE 2022-03-31
501 2020-01-01 MELANIE CHARLES 2021-05-19
501 2019-01-01 STUART BLUMBERG 2020-06-24

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-01-01	DIANE CALABRESE	2023-10-09
501	2021-01-01	DIANE CALABRESE	2022-03-31
501	2020-01-01	MELANIE CHARLES	2021-05-19
501	2019-01-01	STUART BLUMBERG	2020-06-24

Form 5500 Responses for HEALTH PLUS MANAGEMENT

2022: HEALTH PLUS MANAGEMENT 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
2021: HEALTH PLUS MANAGEMENT 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
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
2020: HEALTH PLUS MANAGEMENT 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: HEALTH PLUS MANAGEMENT 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )

Policy contract number

300419

Policy instance

Insurance contract or identification number	300419
Number of Individuals Covered	260
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $6,325
Total amount of fees paid to insurance company	USD $2,846
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $45,206
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )

Policy contract number

300419

Policy instance

Insurance contract or identification number	300419
Number of Individuals Covered	156
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $48,323
Total amount of fees paid to insurance company	USD $20,591
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,257,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )

Policy contract number

300419

Policy instance

EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )

Policy contract number

300419

Policy instance

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1068161

Policy instance

EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )

Policy contract number

300419

Policy instance

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1068161

Policy instance

Potentially related plans

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Company Name:	HEALTH PLUS MANAGEMENT LLC
Employer identification number (EIN):	900818246
NAIC Classification:	451120
NAIC Description:	Hobby, Toy, and Game Stores