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EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 401k Plan overview

Plan NameEMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN
Plan identification number 501

EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision

401k Sponsoring company profile

EMPLOYMENT SPECIALISTS OF MAINE, INC has sponsored the creation of one or more 401k plans.

Company Name:EMPLOYMENT SPECIALISTS OF MAINE, INC
Employer identification number (EIN):010469778
NAIC Classification:621330
NAIC Description:Offices of Mental Health Practitioners (except Physicians)

Additional information about EMPLOYMENT SPECIALISTS OF MAINE, INC

Jurisdiction of Incorporation: Maine Bureau of Corporations, Elections & Commissions
Incorporation Date:
Company Identification Number: 19921279D

More information about EMPLOYMENT SPECIALISTS OF MAINE, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-10-01HEATHER ULMER2024-02-28
5012021-10-01HEATHER ULMER2023-04-25
5012020-10-01HEATHER ULMER2022-05-10
5012019-10-01HEATHER ULMER2021-04-27
5012018-10-01HEATHER ULMER2020-12-18
5012017-10-01HEATHER ULMER2020-12-18
5012016-10-01
5012015-10-01HEATHER ULMER2020-12-18
5012014-10-01HEATHER ULMER2020-12-18

Plan Statistics for EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN

401k plan membership statisitcs for EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN

Measure Date Value
2022: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01137
Total number of active participants reported on line 7a of the Form 55002022-10-01137
Number of retired or separated participants receiving benefits2022-10-010
Number of other retired or separated participants entitled to future benefits2022-10-010
Total of all active and inactive participants2022-10-01137
Number of employers contributing to the scheme2022-10-010
2021: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01152
Total number of active participants reported on line 7a of the Form 55002021-10-01137
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01137
Number of employers contributing to the scheme2021-10-010
2020: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01148
Total number of active participants reported on line 7a of the Form 55002020-10-01138
Number of retired or separated participants receiving benefits2020-10-011
Total of all active and inactive participants2020-10-01139
2019: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01156
Total number of active participants reported on line 7a of the Form 55002019-10-01144
Number of retired or separated participants receiving benefits2019-10-012
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01146
2018: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01121
Total number of active participants reported on line 7a of the Form 55002018-10-01156
Total of all active and inactive participants2018-10-01156
2017: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01107
Total number of active participants reported on line 7a of the Form 55002017-10-01120
Total of all active and inactive participants2017-10-01120
2016: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01122
Total number of active participants reported on line 7a of the Form 55002016-10-01106
Total of all active and inactive participants2016-10-01106
Total participants2016-10-01106
2015: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01129
Total number of active participants reported on line 7a of the Form 55002015-10-01126
Total of all active and inactive participants2015-10-01126
2014: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01121
Total number of active participants reported on line 7a of the Form 55002014-10-01118
Total of all active and inactive participants2014-10-01118

Form 5500 Responses for EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN

2022: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes
2021: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: EMPLOYMENT SPECIALISTS OF MAINE, INC ESM HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01First time form 5500 has been submittedYes
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0149083
Policy instance 1
Insurance contract or identification number0149083
Number of Individuals Covered200
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $35,752
Total amount of fees paid to insurance companyUSD $4,096
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $1,281,906
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,752
Amount paid for insurance broker fees4096
Additional information about fees paid to insurance broker2022 SIGNATURE MEDICAL NEW BUSINESS INCENTIVE RISK, 2022 SIGNATURE VISION NEW BUSINESS INCENTIVE
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract numberB911
Policy instance 1
Insurance contract or identification numberB911
Number of Individuals Covered170
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $42,339
Total amount of fees paid to insurance companyUSD $6,117
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,117,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,339
Amount paid for insurance broker fees6117
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00B911
Policy instance 1
Insurance contract or identification number00B911
Number of Individuals Covered167
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $43,063
Total amount of fees paid to insurance companyUSD $1,014
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,008,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,063
Amount paid for insurance broker fees1014
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00B911
Policy instance 1
Insurance contract or identification number00B911
Number of Individuals Covered179
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $45,987
Total amount of fees paid to insurance companyUSD $81
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,113,341
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,987
Amount paid for insurance broker fees81
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00B911
Policy instance 1
Insurance contract or identification number00B911
Number of Individuals Covered185
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $39,773
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,009,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,773
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00B911
Policy instance 1
Insurance contract or identification number00B911
Number of Individuals Covered151
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $28,897
Total amount of fees paid to insurance companyUSD $250
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $751,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00B911
Policy instance 1
Insurance contract or identification number00B911
Number of Individuals Covered157
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $37,204
Total amount of fees paid to insurance companyUSD $732
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $509,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,204
Amount paid for insurance broker fees732
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract number00B911
Policy instance 1
Insurance contract or identification number00B911
Number of Individuals Covered155
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $30,213
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $465,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,213
Insurance broker organization code?3

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