MUSKEGON SURGICAL ASSOCIATES P.C. HEALTH & WELFARE 401k Plan overview
| Plan Name | MUSKEGON SURGICAL ASSOCIATES P.C. HEALTH & WELFARE |
| Plan identification number | 501 |
MUSKEGON SURGICAL ASSOCIATES P.C. HEALTH & WELFARE Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Life insurance
- Dental
- Vision
|
401k Sponsoring company profile
MUSKEGON SURGICAL ASSOCIATES, P.C. has sponsored the creation of one or more 401k plans.
Additional information about MUSKEGON SURGICAL ASSOCIATES, P.C.
| Jurisdiction of Incorporation: | Michigan Secretary of State |
| Incorporation Date: | 0000-00-00 |
| Company Identification Number: | 147529 |
| Legal Registered Office Address: |
1316 MERCY DR MUSKEGON
United States of America (USA)
49444
|
More information about MUSKEGON SURGICAL ASSOCIATES, P.C.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan MUSKEGON SURGICAL ASSOCIATES P.C. HEALTH & WELFARE
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2021-01-01 | PATRICK MEYER | 2022-10-12 | PATRICK MEYER | 2022-10-12 |
Plan Statistics for MUSKEGON SURGICAL ASSOCIATES P.C. HEALTH & WELFARE
401k plan membership statisitcs for MUSKEGON SURGICAL ASSOCIATES P.C. HEALTH & WELFARE
| Measure | Date | Value |
|---|
| 2021: MUSKEGON SURGICAL ASSOCIATES P.C. HEALTH & WELFARE 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 95 |
| Total of all active and inactive participants | 2021-01-01 | 95 |
Form 5500 Responses for MUSKEGON SURGICAL ASSOCIATES P.C. HEALTH & WELFARE
| 2021: MUSKEGON SURGICAL ASSOCIATES P.C. HEALTH & WELFARE 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 037445G |
| Policy instance | 1 |
| Insurance contract or identification number | 037445G | | Number of Individuals Covered | 95 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $5,232 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $46,557 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,232 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 460657G |
| Policy instance | 2 |
| Insurance contract or identification number | 460657G | | Number of Individuals Covered | 2 | | Insurance policy start date | 2020-11-01 | | Insurance policy end date | 2021-10-31 | | Total amount of commissions paid to insurance broker | USD $1,497 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,483 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,497 |
|
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