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NOVA GROUP SERVICES MEDICAL PLAN 401k Plan overview

Plan NameNOVA GROUP SERVICES MEDICAL PLAN
Plan identification number 501

NOVA GROUP SERVICES MEDICAL PLAN Benefits

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

401k Sponsoring company profile

NOVA GROUP SERVICES has sponsored the creation of one or more 401k plans.

Company Name:NOVA GROUP SERVICES
Employer identification number (EIN):208447159
NAIC Classification:541330
NAIC Description:Engineering Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NOVA GROUP SERVICES MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-05-01TAMRE PASSMORE
5012017-05-01TAMRE PASSMORE2020-10-09
5012016-05-01TAMRE PASSMORE
5012015-05-01TAMRE PASSMORE
5012014-05-01TAMRE PASSMORE
5012013-05-01TAMRE PASSMORE
5012011-05-01TAMRE PASSMORE

Plan Statistics for NOVA GROUP SERVICES MEDICAL PLAN

401k plan membership statisitcs for NOVA GROUP SERVICES MEDICAL PLAN

Measure Date Value
2017: NOVA GROUP SERVICES MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01177
Total number of active participants reported on line 7a of the Form 55002017-05-01199
Total of all active and inactive participants2017-05-01199
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
2016: NOVA GROUP SERVICES MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01167
Total number of active participants reported on line 7a of the Form 55002016-05-01177
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01177
2015: NOVA GROUP SERVICES MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01139
Total number of active participants reported on line 7a of the Form 55002015-05-01167
Total of all active and inactive participants2015-05-01167
2014: NOVA GROUP SERVICES MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01109
Total number of active participants reported on line 7a of the Form 55002014-05-01139
Total of all active and inactive participants2014-05-01139
2013: NOVA GROUP SERVICES MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01363
Total number of active participants reported on line 7a of the Form 55002013-05-01109
Total of all active and inactive participants2013-05-01109
2011: NOVA GROUP SERVICES MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01337
Total number of active participants reported on line 7a of the Form 55002011-05-01363
Total of all active and inactive participants2011-05-01363

Form 5500 Responses for NOVA GROUP SERVICES MEDICAL PLAN

2017: NOVA GROUP SERVICES MEDICAL PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedYes
2017-05-01This submission is the final filingYes
2017-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: NOVA GROUP SERVICES MEDICAL PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: NOVA GROUP SERVICES MEDICAL PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: NOVA GROUP SERVICES MEDICAL PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: NOVA GROUP SERVICES MEDICAL PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2011: NOVA GROUP SERVICES MEDICAL PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00610666
Policy instance 1
Insurance contract or identification number00610666
Number of Individuals Covered199
Insurance policy start date2017-05-01
Insurance policy end date2018-03-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
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
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
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
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00610666
Policy instance 1
Insurance contract or identification number00610666
Number of Individuals Covered167
Insurance policy start date2015-05-01
Insurance policy end date2016-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number417002412156
Policy instance 2
Insurance contract or identification number417002412156
Number of Individuals Covered167
Insurance policy start date2015-03-01
Insurance policy end date2016-03-01
Total amount of commissions paid to insurance brokerUSD $79,285
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $532,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,285
Insurance broker nameGODFREY DOWNS INC
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00610666
Policy instance 1
Insurance contract or identification number00610666
Number of Individuals Covered176
Insurance policy start date2014-05-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $71,006
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $483,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $71,006
Insurance broker organization code?3
Insurance broker nameARISTA CONSULTING GROUP
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00610666
Policy instance 1
Insurance contract or identification number00610666
Number of Individuals Covered139
Insurance policy start date2014-03-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $11,691
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,691
Insurance broker organization code?3
Insurance broker nameARISTA CONSULTING GROUP LLC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number714213
Policy instance 1
Insurance contract or identification number714213
Number of Individuals Covered363
Insurance policy start date2011-05-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $46,389
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,038,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,788
Insurance broker organization code?3
Insurance broker nameARISTA CONSULTING GROUP LLC

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