401k Plan data: TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN plan

TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN 401k Plan overview

Plan Name	TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN
Plan identification number	510

TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN Benefits

401k Plan Type	Welfare 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) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

TRUMANAGEMENT SERVICES GP, LLC has sponsored the creation of one or more 401k plans.

Company Name: TRUMANAGEMENT SERVICES GP, LLC

Employer identification number (EIN): 208729295

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2019-06-01 LAURA LEFKOVITS 2021-03-02

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
510	2019-06-01	LAURA LEFKOVITS	2021-03-02

Plan Statistics for TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN

401k plan membership statisitcs for TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN

Measure Date Value
2019: TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-06-01 126
Total number of active participants reported on line 7a of the Form 5500 2019-06-01 148
Number of retired or separated participants receiving benefits 2019-06-01 0
Number of other retired or separated participants entitled to future benefits 2019-06-01 0
Total of all active and inactive participants 2019-06-01 148
Number of employers contributing to the scheme 2019-06-01 0

Measure	Date	Value
2019: TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-06-01	126
Total number of active participants reported on line 7a of the Form 5500	2019-06-01	148
Number of retired or separated participants receiving benefits	2019-06-01	0
Number of other retired or separated participants entitled to future benefits	2019-06-01	0
Total of all active and inactive participants	2019-06-01	148
Number of employers contributing to the scheme	2019-06-01	0

Form 5500 Responses for TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN

2019: TRUMANAGEMENT SERVICES GP LLC HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-06-01	Type of plan entity	Single employer plan
2019-06-01	First time form 5500 has been submitted	Yes
2019-06-01	Plan funding arrangement – Insurance	Yes
2019-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

188463

Policy instance

Insurance contract or identification number	188463
Number of Individuals Covered	231
Insurance policy start date	2019-06-01
Insurance policy end date	2020-05-31
Total amount of commissions paid to insurance broker	USD $73,126
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,122,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $61,408
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

527945

Policy instance

Insurance contract or identification number	527945
Number of Individuals Covered	148
Insurance policy start date	2019-06-01
Insurance policy end date	2020-05-31
Total amount of commissions paid to insurance broker	USD $25,908
Total amount of fees paid to insurance company	USD $9,224
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $217,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,908
Amount paid for insurance broker fees	9224
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30067756

Policy instance

Insurance contract or identification number	30067756
Number of Individuals Covered	124
Insurance policy start date	2019-06-01
Insurance policy end date	2020-05-31
Total amount of commissions paid to insurance broker	USD $1,581
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $19,017
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,581
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )

Policy contract number

E4797064

Policy instance

Insurance contract or identification number	E4797064
Number of Individuals Covered	41
Insurance policy start date	2019-06-01
Insurance policy end date	2020-05-31
Total amount of commissions paid to insurance broker	USD $8,467
Total amount of fees paid to insurance company	USD $4,708
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $28,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,557
Amount paid for insurance broker fees	3466
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

(National Association of Insurance Commissioners NAIC id number: )

Policy contract number

MTMTRG24

Policy instance

Insurance contract or identification number	MTMTRG24
Number of Individuals Covered	148
Insurance policy start date	2019-06-01
Insurance policy end date	2020-05-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Other welfare benefits provided	TELEMEDICINE
Welfare Benefit Premiums Paid to Carrier	USD $4,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

TRUMANAGEMENT SERVICES, GP LLC 401(K) PLAN [EIN = 562557710]

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Company Name:	TRUMANAGEMENT SERVICES GP, LLC
Employer identification number (EIN):	208729295
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners