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ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 401k Plan overview

Plan NameANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN
Plan identification number 501

ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS 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)

401k Sponsoring company profile

ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTER has sponsored the creation of one or more 401k plans.

Company Name:ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTER
Employer identification number (EIN):061569920
NAIC Classification:621340
NAIC Description:Offices of Physical, Occupational and Speech Therapists, and Audiologists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-03-01SANDRA BOCCIALETTI
5012023-03-01
5012023-03-01SANDRA BOCCIALETTI
5012022-03-01
5012022-03-01SANDRA BOCCIALETTI
5012021-03-01
5012021-03-01SANDRA BOCCIALETTI
5012020-03-01
5012019-03-01

Plan Statistics for ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN

401k plan membership statisitcs for ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN

Measure Date Value
2023: ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 2023 401k membership
Total participants, beginning-of-year2023-03-01252
Total number of active participants reported on line 7a of the Form 55002023-03-01262
Number of retired or separated participants receiving benefits2023-03-016
Number of other retired or separated participants entitled to future benefits2023-03-010
Total of all active and inactive participants2023-03-01268
2022: ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01198
Total number of active participants reported on line 7a of the Form 55002022-03-01244
Number of retired or separated participants receiving benefits2022-03-013
Number of other retired or separated participants entitled to future benefits2022-03-015
Total of all active and inactive participants2022-03-01252
2021: ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01185
Total number of active participants reported on line 7a of the Form 55002021-03-01198
Number of retired or separated participants receiving benefits2021-03-012
Number of other retired or separated participants entitled to future benefits2021-03-016
Total of all active and inactive participants2021-03-01206
2020: ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-03-01155
Total number of active participants reported on line 7a of the Form 55002020-03-01185
Number of retired or separated participants receiving benefits2020-03-013
Number of other retired or separated participants entitled to future benefits2020-03-0110
Total of all active and inactive participants2020-03-01198
2019: ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01136
Total number of active participants reported on line 7a of the Form 55002019-03-01162
Number of retired or separated participants receiving benefits2019-03-010
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-01162

Form 5500 Responses for ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN

2023: ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 2023 form 5500 responses
2023-03-01Type of plan entitySingle employer plan
2023-03-01Submission has been amendedNo
2023-03-01This submission is the final filingNo
2023-03-01This return/report is a short plan year return/report (less than 12 months)No
2023-03-01Plan is a collectively bargained planNo
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan benefit arrangement – InsuranceYes
2022: ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Submission has been amendedNo
2022-03-01This submission is the final filingNo
2022-03-01This return/report is a short plan year return/report (less than 12 months)No
2022-03-01Plan is a collectively bargained planNo
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Submission has been amendedNo
2021-03-01This submission is the final filingNo
2021-03-01This return/report is a short plan year return/report (less than 12 months)No
2021-03-01Plan is a collectively bargained planNo
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2020: ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 2020 form 5500 responses
2020-03-01Type of plan entitySingle employer plan
2020-03-01Submission has been amendedNo
2020-03-01This submission is the final filingNo
2020-03-01This return/report is a short plan year return/report (less than 12 months)No
2020-03-01Plan is a collectively bargained planNo
2020-03-01Plan funding arrangement – InsuranceYes
2020-03-01Plan benefit arrangement – InsuranceYes
2019: ANB-PTSMA HOLDINGS, INC. DBA PHYSICAL THERAPY & SPORTS MEDICINE CENTERS WELFARE BENEFITS PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01First time form 5500 has been submittedYes
2019-03-01Submission has been amendedNo
2019-03-01This submission is the final filingNo
2019-03-01This return/report is a short plan year return/report (less than 12 months)No
2019-03-01Plan is a collectively bargained planNo
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number923916*
Policy instance 1
Insurance contract or identification number923916*
Number of Individuals Covered271
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $82,891
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,405,206
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 number308924
Policy instance 2
Insurance contract or identification number308924
Number of Individuals Covered267
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $9,237
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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 providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $112,641
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 number923916*
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number923916
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00572564
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00629157
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00572564
Policy instance 2

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