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BLESSING CORPORATE SERVICES WELFARE BENEFIT PLAN 401k Plan overview

Plan NameBLESSING CORPORATE SERVICES WELFARE BENEFIT PLAN
Plan identification number 506

BLESSING CORPORATE SERVICES 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)
  • Prepaid legal
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

BLESSING CORPORATE SERVICES has sponsored the creation of one or more 401k plans.

Company Name:BLESSING CORPORATE SERVICES
Employer identification number (EIN):371128706
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLESSING CORPORATE SERVICES WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-01-01
5062021-01-01

Plan Statistics for BLESSING CORPORATE SERVICES WELFARE BENEFIT PLAN

401k plan membership statisitcs for BLESSING CORPORATE SERVICES WELFARE BENEFIT PLAN

Measure Date Value
2022: BLESSING CORPORATE SERVICES WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,431
Total number of active participants reported on line 7a of the Form 55002022-01-013,165
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-013,165
2021: BLESSING CORPORATE SERVICES WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-013,363
Total number of active participants reported on line 7a of the Form 55002021-01-013,431
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-013,431

Form 5500 Responses for BLESSING CORPORATE SERVICES WELFARE BENEFIT PLAN

2022: BLESSING CORPORATE SERVICES WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: BLESSING CORPORATE SERVICES WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0173638
Policy instance 1
Insurance contract or identification number0173638
Number of Individuals Covered5579
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $75,171
Total amount of fees paid to insurance companyUSD $37,187
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,036,076
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,580
Amount paid for insurance broker fees30248
Additional information about fees paid to insurance brokerNON-MONETARY/SUPPLEMENTAL COMP. MARKETING FEES
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number30100235
Policy instance 2
Insurance contract or identification number30100235
Number of Individuals Covered2466
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $16,855
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,855
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69767-2
Policy instance 3
Insurance contract or identification number69767-2
Number of Individuals Covered6717
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $357,220
Total amount of fees paid to insurance companyUSD $82,611
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, ACCIDENT, CI, HCI, EXRK
Welfare Benefit Premiums Paid to CarrierUSD $2,851,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $200,502
Insurance broker organization code?3
Amount paid for insurance broker fees48951
Additional information about fees paid to insurance brokerSERVICE FEE MARKETING FEE
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9904329
Policy instance 4
Insurance contract or identification number9904329
Number of Individuals Covered189
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $5,576
Total amount of fees paid to insurance companyUSD $960
Other welfare benefits providedPRE-PAID LEGAL
Welfare Benefit Premiums Paid to CarrierUSD $60,110
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,576
Amount paid for insurance broker fees1
Additional information about fees paid to insurance brokerMARKETING FEE
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0173638
Policy instance 1
Insurance contract or identification number0173638
Number of Individuals Covered5270
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $61,076
Total amount of fees paid to insurance companyUSD $32,570
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,930,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,838
Amount paid for insurance broker fees24479
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION NON-MONETARY COMPENSATION
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number30100235
Policy instance 2
Insurance contract or identification number30100235
Number of Individuals Covered2275
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $15,216
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,345
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69767-2
Policy instance 3
Insurance contract or identification number69767-2
Number of Individuals Covered6897
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $215,836
Total amount of fees paid to insurance companyUSD $109,130
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D, ACCIDENT, CI, HCI, EXRK
Welfare Benefit Premiums Paid to CarrierUSD $2,963,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $116,128
Insurance broker organization code?3
Amount paid for insurance broker fees65245
Additional information about fees paid to insurance brokerADMINISTRATION FEE
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9904329
Policy instance 4
Insurance contract or identification number9904329
Number of Individuals Covered202
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,199
Total amount of fees paid to insurance companyUSD $360
Other welfare benefits providedPRE-PAID LEGAL
Welfare Benefit Premiums Paid to CarrierUSD $51,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,828
Amount paid for insurance broker fees71
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3

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