401k Plan data: ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN plan

ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN 401k Plan overview

Plan Name	ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN
Plan identification number	501

ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Other welfare benefit 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.

401k Sponsoring company profile

ACCURATE HOUSING SYSTEMS INC has sponsored the creation of one or more 401k plans.

Company Name: ACCURATE HOUSING SYSTEMS INC

Employer identification number (EIN): 260832279

NAIC Classification: 236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-10-01
501 2019-10-01
501 2019-10-01

Plan Statistics for ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN

401k plan membership statisitcs for ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN

Measure Date Value
2021: ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 148
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 166
Number of retired or separated participants receiving benefits 2021-10-01 166
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 332
2019: ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 151
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 136
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 136

Measure	Date	Value
2021: ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	148
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	166
Number of retired or separated participants receiving benefits	2021-10-01	166
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	332
2019: ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	151
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	136
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	136

Form 5500 Responses for ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN

2021: ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2019: ACCURATE HOUSING SYSTEMS, INC. LIFE PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	First time form 5500 has been submitted	Yes
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	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

OMC559

Policy instance

Insurance contract or identification number	OMC559
Number of Individuals Covered	162
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Total amount of commissions paid to insurance broker	USD $36,202
Total amount of fees paid to insurance company	USD $2,700
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $922,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $36,202
Amount paid for insurance broker fees	2700
Additional information about fees paid to insurance broker	OTHER COMMINSIONS, SPECIAL PROGRAMS
Insurance broker organization code?	3

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

Policy contract number

00543080

Policy instance

Insurance contract or identification number	00543080
Number of Individuals Covered	143
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $6,080
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D,OPTIONAL AD&D, OPTIONAL LIFE
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $74,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,080
Insurance broker organization code?	3

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Company Name:	ACCURATE HOUSING SYSTEMS INC
Employer identification number (EIN):	260832279
NAIC Classification:	236110