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GORILLA GROUP ANCILLARY BENEFIT PLAN 401k Plan overview

Plan NameGORILLA GROUP ANCILLARY BENEFIT PLAN
Plan identification number 502

GORILLA GROUP ANCILLARY 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
  • Other welfare benefit cover

401k Sponsoring company profile

GORILLA, LLC has sponsored the creation of one or more 401k plans.

Company Name:GORILLA, LLC
Employer identification number (EIN):010911092
NAIC Classification:541511
NAIC Description:Custom Computer Programming Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GORILLA GROUP ANCILLARY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-12-01HILARY VANDER WEELE2022-06-02
5022019-12-01ALLISON HENLEY-KEHM2021-06-14
5022018-12-01ALLISON HENLEY-KEHM2020-06-22
5022017-12-01ALLISON HENLEY-KEHM2019-06-27
5022016-12-01
5022016-12-01
5022015-12-01ALLISON HENLEY-KEHM

Plan Statistics for GORILLA GROUP ANCILLARY BENEFIT PLAN

401k plan membership statisitcs for GORILLA GROUP ANCILLARY BENEFIT PLAN

Measure Date Value
2020: GORILLA GROUP ANCILLARY BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01318
Total number of active participants reported on line 7a of the Form 55002020-12-01276
Total of all active and inactive participants2020-12-01276
2019: GORILLA GROUP ANCILLARY BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01147
Total number of active participants reported on line 7a of the Form 55002019-12-01318
Total of all active and inactive participants2019-12-01318
2018: GORILLA GROUP ANCILLARY BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01177
Total number of active participants reported on line 7a of the Form 55002018-12-01147
Total of all active and inactive participants2018-12-01147
2017: GORILLA GROUP ANCILLARY BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01170
Total number of active participants reported on line 7a of the Form 55002017-12-01177
Total of all active and inactive participants2017-12-01177
2016: GORILLA GROUP ANCILLARY BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01112
Total number of active participants reported on line 7a of the Form 55002016-12-01170
Total of all active and inactive participants2016-12-01170
Total participants2016-12-01170
2015: GORILLA GROUP ANCILLARY BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01109
Total number of active participants reported on line 7a of the Form 55002015-12-01112
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01112

Form 5500 Responses for GORILLA GROUP ANCILLARY BENEFIT PLAN

2020: GORILLA GROUP ANCILLARY BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – InsuranceYes
2019: GORILLA GROUP ANCILLARY BENEFIT PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: GORILLA GROUP ANCILLARY BENEFIT PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: GORILLA GROUP ANCILLARY BENEFIT PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: GORILLA GROUP ANCILLARY BENEFIT PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedYes
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes
2015: GORILLA GROUP ANCILLARY BENEFIT PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01First time form 5500 has been submittedYes
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5948204
Policy instance 1
Insurance contract or identification number5948204
Number of Individuals Covered298
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $19,694
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $148,897
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,694
Insurance broker organization code?4
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPJ2942
Policy instance 2
Insurance contract or identification numberPJ2942
Number of Individuals Covered276
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $76,605
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,589,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76,605
Insurance broker organization code?4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00578605
Policy instance 3
Insurance contract or identification number00578605
Number of Individuals Covered174
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $23,838
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, VCI, ACCIDENT, OPTIONAL LIFE
Welfare Benefit Premiums Paid to CarrierUSD $119,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,838
Insurance broker organization code?4
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5948204
Policy instance 1
Insurance contract or identification number5948204
Number of Individuals Covered350
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $226,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberPJ2942
Policy instance 2
Insurance contract or identification numberPJ2942
Number of Individuals Covered318
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $86,645
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,534,706
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees86645
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5948204
Policy instance 1
Insurance contract or identification number5948204
Number of Individuals Covered281
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $22,805
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $184,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,805
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00620569
Policy instance 2
Insurance contract or identification number00620569
Number of Individuals Covered147
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $62,930
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $423,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,930
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00620569
Policy instance 2
Insurance contract or identification number00620569
Number of Individuals Covered177
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $68,320
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $513,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5948204
Policy instance 1
Insurance contract or identification number5948204
Number of Individuals Covered340
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $23,078
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $193,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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