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HEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameHEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN
Plan identification number 501

HEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

HEALTHCORP, INC. has sponsored the creation of one or more 401k plans.

Company Name:HEALTHCORP, INC.
Employer identification number (EIN):232753410
NAIC Classification:541800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-10-01BETH HELLER-LEWIS2021-06-08
5012018-10-01BETH HELLER-LEWIS2021-06-04
5012018-10-01BETH HELLER-LEWIS2021-06-04

Plan Statistics for HEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN

401k plan membership statisitcs for HEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN

Measure Date Value
2019: HEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01102
Total number of active participants reported on line 7a of the Form 55002019-10-010
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-010
Number of employers contributing to the scheme2019-10-010
2018: HEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01101
Total number of active participants reported on line 7a of the Form 55002018-10-01102
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-01102
Number of employers contributing to the scheme2018-10-010

Form 5500 Responses for HEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN

2019: HEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01This submission is the final filingYes
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: HEALTHCORP, INC. DBA DUDNYK HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01First time form 5500 has been submittedYes
2018-10-01Submission has been amendedYes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number531196
Policy instance 1
Insurance contract or identification number531196
Number of Individuals Covered103
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $10,749
Total amount of fees paid to insurance companyUSD $8,056
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $150,116
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $133
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number909219
Policy instance 2
Insurance contract or identification number909219
Number of Individuals Covered178
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $11,803
Total amount of fees paid to insurance companyUSD $60,820
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $944,408
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,803
Amount paid for insurance broker fees60820
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT BONUS
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number531196
Policy instance 1
Insurance contract or identification number531196
Number of Individuals Covered103
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $9,666
Total amount of fees paid to insurance companyUSD $6,761
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $130,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,549
Amount paid for insurance broker fees6761
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number909219
Policy instance 2
Insurance contract or identification number909219
Number of Individuals Covered152
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $11,306
Total amount of fees paid to insurance companyUSD $35,919
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $683,625
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,306
Amount paid for insurance broker fees35919
Additional information about fees paid to insurance brokerFEES AND BONUS
Insurance broker organization code?3

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