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EXCELSIOR MANAGEMENT LLC HEALTH PLAN 401k Plan overview

Plan NameEXCELSIOR MANAGEMENT LLC HEALTH PLAN
Plan identification number 501

EXCELSIOR MANAGEMENT LLC HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

EXCELSIOR MANAGEMENT INC has sponsored the creation of one or more 401k plans.

Company Name:EXCELSIOR MANAGEMENT INC
Employer identification number (EIN):261540782
NAIC Classification:531310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EXCELSIOR MANAGEMENT LLC HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01BETH SCHIESTL

Plan Statistics for EXCELSIOR MANAGEMENT LLC HEALTH PLAN

401k plan membership statisitcs for EXCELSIOR MANAGEMENT LLC HEALTH PLAN

Measure Date Value
2021: EXCELSIOR MANAGEMENT LLC HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01120
Total number of active participants reported on line 7a of the Form 55002021-01-016
Total of all active and inactive participants2021-01-016
Total participants2021-01-016
2020: EXCELSIOR MANAGEMENT LLC HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01140
Total number of active participants reported on line 7a of the Form 55002020-01-01120
Number of retired or separated participants receiving benefits2020-01-011
Total of all active and inactive participants2020-01-01121
Total participants2020-01-01121
2019: EXCELSIOR MANAGEMENT LLC HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01137
Total number of active participants reported on line 7a of the Form 55002019-01-01139
Number of retired or separated participants receiving benefits2019-01-011
Total of all active and inactive participants2019-01-01140
Total participants2019-01-01140
2018: EXCELSIOR MANAGEMENT LLC HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01101
Total number of active participants reported on line 7a of the Form 55002018-01-01137
Number of retired or separated participants receiving benefits2018-01-014
Total of all active and inactive participants2018-01-01141
Total participants2018-01-01141

Form 5500 Responses for EXCELSIOR MANAGEMENT LLC HEALTH PLAN

2021: EXCELSIOR MANAGEMENT LLC HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: EXCELSIOR MANAGEMENT LLC HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: EXCELSIOR MANAGEMENT LLC HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: EXCELSIOR MANAGEMENT LLC HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number34609
Policy instance 1
Insurance contract or identification number34609
Number of Individuals Covered6
Total amount of commissions paid to insurance brokerUSD $16,479
Total amount of fees paid to insurance companyUSD $2
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $383,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,479
Amount paid for insurance broker fees2
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number34609
Policy instance 1
Insurance contract or identification number34609
Number of Individuals Covered120
Total amount of commissions paid to insurance brokerUSD $39,553
Total amount of fees paid to insurance companyUSD $55
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,095,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,553
Amount paid for insurance broker fees55
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number34609
Policy instance 1
Insurance contract or identification number34609
Number of Individuals Covered139
Total amount of commissions paid to insurance brokerUSD $42,057
Total amount of fees paid to insurance companyUSD $65
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,215,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,057
Amount paid for insurance broker fees65
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
HEALTHPARTNERS (National Association of Insurance Commissioners NAIC id number: 95766 )
Policy contract number34609
Policy instance 1
Insurance contract or identification number34609
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $39,315
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,047,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,315
Insurance broker organization code?3

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