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MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 401k Plan overview

Plan NameMATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN
Plan identification number 503

MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN Benefits

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

401k Sponsoring company profile

MATSON, DRISCOLL & DAMICO, LLP has sponsored the creation of one or more 401k plans.

Company Name:MATSON, DRISCOLL & DAMICO, LLP
Employer identification number (EIN):363799916
NAIC Classification:541211
NAIC Description:Offices of Certified Public Accountants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032018-04-01CARYN SEGEROTH CARYN SEGEROTH2019-06-27
5032017-04-01CARYN SEGEROTH CARYN SEGEROTH2018-12-17
5032016-04-01CARYN SEGEROTH
5032015-04-01CARYN SEGEROTH
5032014-04-01CARYN SEGEROTH
5032013-04-01CARYN SEGEROTH
5032012-04-01CARYN SEGEROTH
5032011-04-01CARYN SEGEROTH
5032009-04-01WILLIAM BRADSHAW WILLIAM BRADSHAW2010-06-03

Plan Statistics for MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN

401k plan membership statisitcs for MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN

Measure Date Value
2018: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01144
Total number of active participants reported on line 7a of the Form 55002018-04-010
Total of all active and inactive participants2018-04-010
2017: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01105
Total number of active participants reported on line 7a of the Form 55002017-04-01144
Total of all active and inactive participants2017-04-01144
2016: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01112
Total number of active participants reported on line 7a of the Form 55002016-04-01105
Total of all active and inactive participants2016-04-01105
Total participants2016-04-01105
2015: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01166
Total number of active participants reported on line 7a of the Form 55002015-04-01112
Total of all active and inactive participants2015-04-01112
Total participants2015-04-010
2014: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01163
Total number of active participants reported on line 7a of the Form 55002014-04-01166
Total of all active and inactive participants2014-04-01166
Total participants2014-04-010
2013: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01203
Total number of active participants reported on line 7a of the Form 55002013-04-01163
Total of all active and inactive participants2013-04-01163
Total participants2013-04-010
2012: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01203
Total number of active participants reported on line 7a of the Form 55002012-04-01154
Total of all active and inactive participants2012-04-01154
Total participants2012-04-010
2011: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01174
Total number of active participants reported on line 7a of the Form 55002011-04-01203
Total of all active and inactive participants2011-04-01203
Total participants2011-04-01203
2009: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01158
Total number of active participants reported on line 7a of the Form 55002009-04-01174
Total of all active and inactive participants2009-04-01174
Total participants2009-04-01174

Form 5500 Responses for MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN

2018: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingYes
2018-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedYes
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2009: MATSON DRISCOLL & DAMICO LLP GROUP HEALTH & HOSPITALIZATION PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number015997
Policy instance 1
Insurance contract or identification number015997
Number of Individuals Covered137
Insurance policy start date2018-04-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $46,374
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,258,084
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $46,374
Insurance broker organization code?3
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number20167
Policy instance 2
Insurance contract or identification number20167
Number of Individuals Covered115
Insurance policy start date2018-04-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $7,991
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $80,356
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,786
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number015997
Policy instance 1
Insurance contract or identification number015997
Number of Individuals Covered371
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $74,428
Total amount of fees paid to insurance companyUSD $1,269
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $229,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,428
Amount paid for insurance broker fees1269
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
Insurance broker nameAXION RMS LTD
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number20167
Policy instance 2
Insurance contract or identification number20167
Number of Individuals Covered110
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $10,108
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,108
Insurance broker organization code?3
Insurance broker nameAXION RMS LTD

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