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NEUTRAL TANDEM, INC. GROUP INSURANCE PLAN 401k Plan overview

Plan NameNEUTRAL TANDEM, INC. GROUP INSURANCE PLAN
Plan identification number 501

NEUTRAL TANDEM, INC. GROUP INSURANCE 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

401k Sponsoring company profile

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

Company Name:NEUTRAL TANDEM, INC
Employer identification number (EIN):311786781
NAIC Classification:517000

Additional information about NEUTRAL TANDEM, INC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3382570

More information about NEUTRAL TANDEM, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEUTRAL TANDEM, INC. GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-07-01BECKY ROW

Plan Statistics for NEUTRAL TANDEM, INC. GROUP INSURANCE PLAN

401k plan membership statisitcs for NEUTRAL TANDEM, INC. GROUP INSURANCE PLAN

Measure Date Value
2012: NEUTRAL TANDEM, INC. GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01151
Total number of active participants reported on line 7a of the Form 55002012-07-01165
Total of all active and inactive participants2012-07-01165
Total participants2012-07-010

Form 5500 Responses for NEUTRAL TANDEM, INC. GROUP INSURANCE PLAN

2012: NEUTRAL TANDEM, INC. GROUP INSURANCE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB/P47149
Policy instance 1
Insurance contract or identification numberB/P47149
Number of Individuals Covered439
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $113,177
Total amount of fees paid to insurance companyUSD $2,457
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,262,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,791
Amount paid for insurance broker fees1193
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker nameMID AMERICAN GROUP, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12289594
Policy instance 2
Insurance contract or identification number12289594
Number of Individuals Covered154
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $532
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $532
Insurance broker nameMID AMERICAN GROUP, INC.
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF015664
Policy instance 3
Insurance contract or identification numberF015664
Number of Individuals Covered181
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $17,993
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $553,144
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,144
Insurance broker nameMID AMERICAN GROUP, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05993484
Policy instance 4
Insurance contract or identification numberKM05993484
Number of Individuals Covered682
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $19,087
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $197,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $631
Insurance broker nameMID AMERICAN GROUP, INC

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