?>
Logo

GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN 401k Plan overview

Plan NameGEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN
Plan identification number 501

GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT 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
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC has sponsored the creation of one or more 401k plans.

Company Name:GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
Employer identification number (EIN):311838862
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01ROBYN BURNEY2023-03-27
5012020-10-01MICHAEL SHARKEY2022-01-12
5012019-10-01ROBYN BURNEY2021-05-24

Plan Statistics for GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN

401k plan membership statisitcs for GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN

Measure Date Value
2021: GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01165
Total number of active participants reported on line 7a of the Form 55002021-10-01161
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01161
Number of employers contributing to the scheme2021-10-010
2020: GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01165
Total number of active participants reported on line 7a of the Form 55002020-10-01165
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01165
Number of employers contributing to the scheme2020-10-010
2019: GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01100
Total number of active participants reported on line 7a of the Form 55002019-10-01163
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-01163
Number of employers contributing to the scheme2019-10-010

Form 5500 Responses for GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN

2021: GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: GEORGIA DERMATOLOGY & SKIN CANCER CENTER WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01First time form 5500 has been submittedYes
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number565629
Policy instance 1
Insurance contract or identification number565629
Number of Individuals Covered161
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $21,508
Total amount of fees paid to insurance companyUSD $933
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $121,777
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,406
Amount paid for insurance broker fees933
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number565629
Policy instance 1
Insurance contract or identification number565629
Number of Individuals Covered165
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $43,238
Total amount of fees paid to insurance companyUSD $3,531
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $125,867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,895
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerFEES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number565629
Policy instance 1
Insurance contract or identification number565629
Number of Individuals Covered163
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $23,403
Total amount of fees paid to insurance companyUSD $950
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM, ACCIDENT, CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $118,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,428
Amount paid for insurance broker fees950
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3