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COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameCOMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN
Plan identification number 504

COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • 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.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

COMPLETE DISCOVERY SOURCE has sponsored the creation of one or more 401k plans.

Company Name:COMPLETE DISCOVERY SOURCE
Employer identification number (EIN):260074903
NAIC Classification:518210
NAIC Description:Data Processing, Hosting, and Related Services

Additional information about COMPLETE DISCOVERY SOURCE

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2003-11-24
Company Identification Number: 2981110
Legal Registered Office Address: 250 Park Avenue 18th Floor
18th Floor
New York
United States of America (USA)
10177

More information about COMPLETE DISCOVERY SOURCE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-03-01NADIA HANIFF2023-09-18
5042021-03-01NADIA HANIFF2022-12-13
5042019-03-01NADIA HANIFF2020-08-17
5042017-03-01
5042017-03-01NADIA HANIFF2020-03-16

Plan Statistics for COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN

401k plan membership statisitcs for COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN

Measure Date Value
2022: COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-03-01232
Total number of active participants reported on line 7a of the Form 55002022-03-01168
Number of retired or separated participants receiving benefits2022-03-010
Number of other retired or separated participants entitled to future benefits2022-03-010
Total of all active and inactive participants2022-03-01168
Number of employers contributing to the scheme2022-03-010
2021: COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-03-01229
Total number of active participants reported on line 7a of the Form 55002021-03-01232
Number of retired or separated participants receiving benefits2021-03-010
Number of other retired or separated participants entitled to future benefits2021-03-010
Total of all active and inactive participants2021-03-01232
Number of employers contributing to the scheme2021-03-010
2019: COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01100
Total number of active participants reported on line 7a of the Form 55002019-03-0195
Number of retired or separated participants receiving benefits2019-03-010
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-0195
Number of employers contributing to the scheme2019-03-010
2017: COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01100
Total number of active participants reported on line 7a of the Form 55002017-03-01100
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01100
Number of employers contributing to the scheme2017-03-010

Form 5500 Responses for COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN

2022: COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-03-01Type of plan entitySingle employer plan
2022-03-01Plan funding arrangement – InsuranceYes
2022-03-01Plan benefit arrangement – InsuranceYes
2021: COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-03-01Type of plan entitySingle employer plan
2021-03-01Plan funding arrangement – InsuranceYes
2021-03-01Plan benefit arrangement – InsuranceYes
2019: COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2017: COMPLETE DISCOVERY SOURCE HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01First time form 5500 has been submittedYes
2017-03-01Submission has been amendedYes
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

FIRST UNUM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64297 )
Policy contract number211787
Policy instance 1
Insurance contract or identification number211787
Number of Individuals Covered168
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $5,646
Total amount of fees paid to insurance companyUSD $2,498
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,646
Amount paid for insurance broker fees2498
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number243856
Policy instance 2
Insurance contract or identification number243856
Number of Individuals Covered281
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $106,962
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $2,339,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $106,962
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number243856
Policy instance 1
Insurance contract or identification number243856
Number of Individuals Covered232
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $93,052
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,823,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $93,052
Amount paid for insurance broker fees0
Insurance broker organization code?3
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberCD14692
Policy instance 1
Insurance contract or identification numberCD14692
Number of Individuals Covered223
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $70,297
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,789,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $70,297
Amount paid for insurance broker fees0
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3336945
Policy instance 1
Insurance contract or identification number3336945
Number of Individuals Covered100
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberCD14692
Policy instance 1
Insurance contract or identification numberCD14692
Number of Individuals Covered172
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $40,492
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,110,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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