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TRIPLE CROWN MEDICAL 401k Plan overview

Plan NameTRIPLE CROWN MEDICAL
Plan identification number 503

TRIPLE CROWN MEDICAL Benefits

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

401k Sponsoring company profile

TRIPLE CROWN CONSULTING, LLC has sponsored the creation of one or more 401k plans.

Company Name:TRIPLE CROWN CONSULTING, LLC
Employer identification number (EIN):201368158
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Additional information about TRIPLE CROWN CONSULTING, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2004-07-15
Company Identification Number: 0800365735
Legal Registered Office Address: 10814 JOLLYVILLE RD STE 100

AUSTIN
United States of Amercica (USA)
78759

More information about TRIPLE CROWN CONSULTING, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRIPLE CROWN MEDICAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-01-01LISA DOAN2022-04-20

Plan Statistics for TRIPLE CROWN MEDICAL

401k plan membership statisitcs for TRIPLE CROWN MEDICAL

Measure Date Value
2021: TRIPLE CROWN MEDICAL 2021 401k membership
Total participants, beginning-of-year2021-01-01179
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
Number of employers contributing to the scheme2021-01-010

Form 5500 Responses for TRIPLE CROWN MEDICAL

2021: TRIPLE CROWN MEDICAL 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01This submission is the final filingYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number303933
Policy instance 1
Insurance contract or identification number303933
Number of Individuals Covered341
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $81,733
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,186,818
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $81,733
Amount paid for insurance broker fees0
Insurance broker organization code?3

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