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CENTRICS IT, LLC MEDICAL PLAN 401k Plan overview

Plan NameCENTRICS IT, LLC MEDICAL PLAN
Plan identification number 501

CENTRICS IT, LLC MEDICAL PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:CENTRICS IT, LLC
Employer identification number (EIN):208150734
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRICS IT, LLC MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-02-01LESLEY DOUGLASS2022-08-09
5012020-02-01LESLEY DOUGLASS2021-08-25
5012019-02-01LESLEY DOUGLASS2020-06-25
5012018-02-01ANDREA KLOCKOW2019-08-12
5012017-02-01
5012016-02-01ANDREA KLOCKOW

Plan Statistics for CENTRICS IT, LLC MEDICAL PLAN

401k plan membership statisitcs for CENTRICS IT, LLC MEDICAL PLAN

Measure Date Value
2021: CENTRICS IT, LLC MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-02-01122
Total number of active participants reported on line 7a of the Form 55002021-02-01122
Number of retired or separated participants receiving benefits2021-02-010
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-01122
Number of employers contributing to the scheme2021-02-010
2020: CENTRICS IT, LLC MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01122
Total number of active participants reported on line 7a of the Form 55002020-02-01122
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01122
Number of employers contributing to the scheme2020-02-010
2019: CENTRICS IT, LLC MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01109
Total number of active participants reported on line 7a of the Form 55002019-02-01122
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01122
Number of employers contributing to the scheme2019-02-010
2018: CENTRICS IT, LLC MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-01114
Total number of active participants reported on line 7a of the Form 55002018-02-01109
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-01109
Number of employers contributing to the scheme2018-02-010
2017: CENTRICS IT, LLC MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01127
Total number of active participants reported on line 7a of the Form 55002017-02-01106
Number of retired or separated participants receiving benefits2017-02-018
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01114
2016: CENTRICS IT, LLC MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01100
Total number of active participants reported on line 7a of the Form 55002016-02-01108
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01108

Form 5500 Responses for CENTRICS IT, LLC MEDICAL PLAN

2021: CENTRICS IT, LLC MEDICAL PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – General assets of the sponsorYes
2021-02-01Plan benefit arrangement – General assets of the sponsorYes
2020: CENTRICS IT, LLC MEDICAL PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: CENTRICS IT, LLC MEDICAL PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes
2018: CENTRICS IT, LLC MEDICAL PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – InsuranceYes
2017: CENTRICS IT, LLC MEDICAL PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: CENTRICS IT, LLC MEDICAL PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01First time form 5500 has been submittedYes
2016-02-01Submission has been amendedNo
2016-02-01This submission is the final filingNo
2016-02-01This return/report is a short plan year return/report (less than 12 months)No
2016-02-01Plan is a collectively bargained planNo
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberGA9371
Policy instance 1
Insurance contract or identification numberGA9371
Number of Individuals Covered240
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $55,092
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,092,439
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,094
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF GEORGIA INC. (G0386) (National Association of Insurance Commissioners NAIC id number: 96962 )
Policy contract numberGA9371
Policy instance 1
Insurance contract or identification numberGA9371
Number of Individuals Covered211
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $47,345
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $854,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,345
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC.

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