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ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NameENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN
Plan identification number 501

ENTREGA SYSTEMS GROUP, INC. HEALTH & 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)

401k Sponsoring company profile

ENTREGA SYSTEMS GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:ENTREGA SYSTEMS GROUP, INC.
Employer identification number (EIN):383593522
NAIC Classification:541511
NAIC Description:Custom Computer Programming Services

Additional information about ENTREGA SYSTEMS GROUP, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2022-02-16
Company Identification Number: 0804456072
Legal Registered Office Address: 900 WILSHIRE DR STE 205

TROY
United States of America (USA)
48084

More information about ENTREGA SYSTEMS GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01TODD ROLESTON2023-07-31
5012021-01-01TODD ROLESTON2022-10-13

Plan Statistics for ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2022: ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01143
Total number of active participants reported on line 7a of the Form 55002022-01-01157
Number of retired or separated participants receiving benefits2022-01-0112
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01169
2021: ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01108
Total number of active participants reported on line 7a of the Form 55002021-01-01143
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-0136
Total of all active and inactive participants2021-01-01180

Form 5500 Responses for ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN

2022: ENTREGA SYSTEMS GROUP, INC. HEALTH & WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ENTREGA SYSTEMS GROUP, INC. HEALTH & 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 funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number402959
Policy instance 1
Insurance contract or identification number402959
Number of Individuals Covered77
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,757
Total amount of fees paid to insurance companyUSD $516
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $240,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,757
Amount paid for insurance broker fees516
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number402959
Policy instance 2
Insurance contract or identification number402959
Number of Individuals Covered169
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $19,096
Total amount of fees paid to insurance companyUSD $708
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $710,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,096
Amount paid for insurance broker fees708
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1027163
Policy instance 3
Insurance contract or identification number1027163
Number of Individuals Covered288
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $19,727
Total amount of fees paid to insurance companyUSD $4,853
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $201,782
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,727
Amount paid for insurance broker fees4853
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
BLUE CARE NETWORK OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 95610 )
Policy contract number402959
Policy instance 1
Insurance contract or identification number402959
Number of Individuals Covered78
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $8,847
Total amount of fees paid to insurance companyUSD $427
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $276,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,847
Amount paid for insurance broker fees427
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number402959
Policy instance 2
Insurance contract or identification number402959
Number of Individuals Covered137
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $19,328
Total amount of fees paid to insurance companyUSD $605
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $519,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,328
Amount paid for insurance broker fees605
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1027163
Policy instance 3
Insurance contract or identification number1027163
Number of Individuals Covered253
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $16,863
Total amount of fees paid to insurance companyUSD $3,921
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $170,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,863
Amount paid for insurance broker fees3921
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3

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