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SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 401k Plan overview

Plan NameSOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN
Plan identification number 501

SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

SOUTHERN ORTHOPEDIC ASSOCIATES SC has sponsored the creation of one or more 401k plans.

Company Name:SOUTHERN ORTHOPEDIC ASSOCIATES SC
Employer identification number (EIN):371395805
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-02-01JUSTIN D. HARRIS2021-06-14
5012019-02-01MICHELLE ANDOLSEK2020-08-10
5012018-02-01MICHELLE ANDOLSEK2020-08-10
5012017-02-01MICHELLE ANDOLSEK2020-08-10
5012016-02-01MICHELLE ANDOLSEK2020-08-10
5012015-02-01MICHELLE ANDOLSEK2020-08-10
5012014-02-01MICHELLE ANDOLSEK2020-08-10
5012013-02-01MICHELLE ANDOLSEK2020-08-10
5012012-02-01MICHELLE ANDOLSEK2020-08-10

Plan Statistics for SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN

401k plan membership statisitcs for SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN

Measure Date Value
2020: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01242
Total number of active participants reported on line 7a of the Form 55002020-02-01134
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01134
Number of employers contributing to the scheme2020-02-010
2019: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01237
Total number of active participants reported on line 7a of the Form 55002019-02-01242
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01242
Number of employers contributing to the scheme2019-02-010
2018: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-02-01233
Total number of active participants reported on line 7a of the Form 55002018-02-01237
Number of retired or separated participants receiving benefits2018-02-010
Number of other retired or separated participants entitled to future benefits2018-02-010
Total of all active and inactive participants2018-02-01237
Number of employers contributing to the scheme2018-02-010
2017: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-01348
Total number of active participants reported on line 7a of the Form 55002017-02-01233
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01233
Number of employers contributing to the scheme2017-02-010
2016: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-02-01210
Total number of active participants reported on line 7a of the Form 55002016-02-01348
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01348
Number of employers contributing to the scheme2016-02-010
2015: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-02-01210
Total number of active participants reported on line 7a of the Form 55002015-02-01210
Number of retired or separated participants receiving benefits2015-02-010
Number of other retired or separated participants entitled to future benefits2015-02-010
Total of all active and inactive participants2015-02-01210
Number of employers contributing to the scheme2015-02-010
2014: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-02-01210
Total number of active participants reported on line 7a of the Form 55002014-02-01210
Number of retired or separated participants receiving benefits2014-02-010
Number of other retired or separated participants entitled to future benefits2014-02-010
Total of all active and inactive participants2014-02-01210
Number of employers contributing to the scheme2014-02-010
2013: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-02-01210
Total number of active participants reported on line 7a of the Form 55002013-02-01210
Number of retired or separated participants receiving benefits2013-02-010
Number of other retired or separated participants entitled to future benefits2013-02-010
Total of all active and inactive participants2013-02-01210
Number of employers contributing to the scheme2013-02-010
2012: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01100
Total number of active participants reported on line 7a of the Form 55002012-02-01210
Number of retired or separated participants receiving benefits2012-02-010
Number of other retired or separated participants entitled to future benefits2012-02-010
Total of all active and inactive participants2012-02-01210
Number of employers contributing to the scheme2012-02-010

Form 5500 Responses for SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN

2020: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – General assets of the sponsorYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes
2018: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan funding arrangement – General assets of the sponsorYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – General assets of the sponsorYes
2017: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan funding arrangement – General assets of the sponsorYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – General assets of the sponsorYes
2016: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan funding arrangement – General assets of the sponsorYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – General assets of the sponsorYes
2015: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – General assets of the sponsorYes
2015-02-01Plan benefit arrangement – General assets of the sponsorYes
2014: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – General assets of the sponsorYes
2014-02-01Plan benefit arrangement – General assets of the sponsorYes
2013: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – General assets of the sponsorYes
2013-02-01Plan benefit arrangement – General assets of the sponsorYes
2012: SOUTHERN ORTHOPEDIC ASSOCIATES MEDICAL PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01First time form 5500 has been submittedYes
2012-02-01Plan funding arrangement – General assets of the sponsorYes
2012-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF025282
Policy instance 3
Insurance contract or identification numberF025282
Number of Individuals Covered162
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $15,663
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $89,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,663
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number253152
Policy instance 2
Insurance contract or identification number253152
Number of Individuals Covered315
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $8,658
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,320,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $8,658
Amount paid for insurance broker fees0
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberY1108
Policy instance 1
Insurance contract or identification numberY1108
Number of Individuals Covered141
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $20,014
Total amount of fees paid to insurance companyUSD $1,115
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $107,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,657
Amount paid for insurance broker fees799
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 number508583
Policy instance 1
Insurance contract or identification number508583
Number of Individuals Covered213
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $19,564
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $195,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,564
Amount paid for insurance broker fees0
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberY1108
Policy instance 3
Insurance contract or identification numberY1108
Number of Individuals Covered162
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $21,343
Total amount of fees paid to insurance companyUSD $1,107
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $112,920
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,470
Amount paid for insurance broker fees791
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number768046G
Policy instance 2
Insurance contract or identification number768046G
Number of Individuals Covered242
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $17,075
Total amount of fees paid to insurance companyUSD $537
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $78,818
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,075
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number508583
Policy instance 1
Insurance contract or identification number508583
Number of Individuals Covered225
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $20,023
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $200,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,023
Amount paid for insurance broker fees0
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberY1108
Policy instance 3
Insurance contract or identification numberY1108
Number of Individuals Covered151
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $20,416
Total amount of fees paid to insurance companyUSD $715
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $101,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,070
Amount paid for insurance broker fees513
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number768046G
Policy instance 2
Insurance contract or identification number768046G
Number of Individuals Covered237
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $13,560
Total amount of fees paid to insurance companyUSD $762
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $67,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,560
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number768046G
Policy instance 2
Insurance contract or identification number768046G
Number of Individuals Covered233
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $12,988
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $69,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract numberY1108
Policy instance 3
Insurance contract or identification numberY1108
Number of Individuals Covered131
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $15,680
Total amount of fees paid to insurance companyUSD $130
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Welfare Benefit Premiums Paid to CarrierUSD $93,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number508583
Policy instance 1
Insurance contract or identification number508583
Number of Individuals Covered209
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $14,163
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $141,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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