CAPSTONE SOLUTIONS, INC. HEALTH PLAN 401k Plan overview
| Plan Name | CAPSTONE SOLUTIONS, INC. HEALTH PLAN |
| Plan identification number | 502 |
CAPSTONE SOLUTIONS, INC. HEALTH PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Dental
- Vision
|
401k Sponsoring company profile
CAPSTONE SOLUTIONS, INC. has sponsored the creation of one or more 401k plans.
Additional information about CAPSTONE SOLUTIONS, INC.
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 2007-10-08 |
| Company Identification Number: | 602768575 |
| Legal Registered Office Address: |
8195 166TH AVE NE STE 100
REDMOND
United States of America (USA)
980523960
|
More information about CAPSTONE SOLUTIONS, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan CAPSTONE SOLUTIONS, INC. HEALTH PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 502 | 2022-09-01 | CARLEN MORELAND | 2024-03-06 | | |
| 502 | 2021-09-01 | CARLEN MORELAND | 2023-03-29 | | |
Plan Statistics for CAPSTONE SOLUTIONS, INC. HEALTH PLAN
401k plan membership statisitcs for CAPSTONE SOLUTIONS, INC. HEALTH PLAN
| Measure | Date | Value |
|---|
| 2022: CAPSTONE SOLUTIONS, INC. HEALTH PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-09-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-09-01 | 116 |
| Number of retired or separated participants receiving benefits | 2022-09-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2022-09-01 | 0 |
| Total of all active and inactive participants | 2022-09-01 | 117 |
| Number of employers contributing to the scheme | 2022-09-01 | 0 |
| 2021: CAPSTONE SOLUTIONS, INC. HEALTH PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-09-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-09-01 | 111 |
| Number of retired or separated participants receiving benefits | 2021-09-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2021-09-01 | 0 |
| Total of all active and inactive participants | 2021-09-01 | 114 |
| Number of employers contributing to the scheme | 2021-09-01 | 0 |
Form 5500 Responses for CAPSTONE SOLUTIONS, INC. HEALTH PLAN
| 2022: CAPSTONE SOLUTIONS, INC. HEALTH PLAN 2022 form 5500 responses |
|---|
| 2022-09-01 | Type of plan entity | Single employer plan |
| 2022-09-01 | Plan funding arrangement – Insurance | Yes |
| 2022-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: CAPSTONE SOLUTIONS, INC. HEALTH PLAN 2021 form 5500 responses |
|---|
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | First time form 5500 has been submitted | Yes |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) |
| Policy contract number | 4020480 |
| Policy instance | 1 |
| Insurance contract or identification number | 4020480 | | Number of Individuals Covered | 183 | | Insurance policy start date | 2022-09-01 | | Insurance policy end date | 2023-08-31 | | Total amount of commissions paid to insurance broker | USD $487 | | Total amount of fees paid to insurance company | USD $45 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,452 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $487 | | Amount paid for insurance broker fees | 45 | | Additional information about fees paid to insurance broker | PREFERRED PRODUCER PROGRAM | | Insurance broker organization code? | 3 |
|
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) |
| Policy contract number | 4020480 |
| Policy instance | 1 |
| Insurance contract or identification number | 4020480 | | Number of Individuals Covered | 186 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $51,047 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $1,020,940 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $51,047 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
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