401k Plan data: COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN plan

COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan Name	COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN
Plan identification number	501

COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC has sponsored the creation of one or more 401k plans.

Company Name: COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC

Employer identification number (EIN): 462843588

NAIC Classification: 111100
NAIC Description: Oilseed and Grain Farming

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-11-01 JASON CORLEY 2023-08-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2021-11-01	JASON CORLEY	2023-08-15

Plan Statistics for COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN

Measure Date Value
2021: COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-11-01 101
Total number of active participants reported on line 7a of the Form 5500 2021-11-01 100
Number of retired or separated participants receiving benefits 2021-11-01 1
Number of other retired or separated participants entitled to future benefits 2021-11-01 45
Total of all active and inactive participants 2021-11-01 146
Number of employers contributing to the scheme 2021-11-01 0

Measure	Date	Value
2021: COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-11-01	101
Total number of active participants reported on line 7a of the Form 5500	2021-11-01	100
Number of retired or separated participants receiving benefits	2021-11-01	1
Number of other retired or separated participants entitled to future benefits	2021-11-01	45
Total of all active and inactive participants	2021-11-01	146
Number of employers contributing to the scheme	2021-11-01	0

Form 5500 Responses for COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN

2021: COMPREHENSIVE INTERVENTIONAL CARE CENTERS DBA COMPREHENSIVE INTEGRATED CARE CENTERS EMPLOYEE BENEFITS PLAN 2021 form 5500 responses
2021-11-01	Type of plan entity	Single employer plan
2021-11-01	First time form 5500 has been submitted	Yes
2021-11-01	Plan funding arrangement – Insurance	Yes
2021-11-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BANNER HEALTH AND AETNA HEALTH (National Association of Insurance Commissioners NAIC id number: 16058 )

Policy contract number

169856BH

Policy instance

Insurance contract or identification number	169856BH
Number of Individuals Covered	157
Insurance policy start date	2021-11-01
Insurance policy end date	2022-10-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $46,212
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $858,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	21809
Additional information about fees paid to insurance broker	DIRECT COMPENSATION
Insurance broker organization code?	3

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

169856

Policy instance

Insurance contract or identification number	169856
Number of Individuals Covered	227
Insurance policy start date	2021-11-01
Insurance policy end date	2022-10-31
Total amount of commissions paid to insurance broker	USD $10,385
Total amount of fees paid to insurance company	USD $14,147
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $316,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,765
Amount paid for insurance broker fees	9208
Additional information about fees paid to insurance broker	2021 PINNACLE DENTAL/VISION RETENTION INCENTIVE RISK, DIRECT COMPENSATION
Insurance broker organization code?	3

CURALINC HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

2638

Policy instance

Insurance contract or identification number	2638
Number of Individuals Covered	21451
Insurance policy start date	2021-11-01
Insurance policy end date	2022-10-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $168,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SGM607806

Policy instance

Insurance contract or identification number	SGM607806
Number of Individuals Covered	100
Insurance policy start date	2021-11-01
Insurance policy end date	2022-10-31
Total amount of commissions paid to insurance broker	USD $11,900
Total amount of fees paid to insurance company	USD $578
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Welfare Benefit Premiums Paid to Carrier	USD $119,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $11,900
Amount paid for insurance broker fees	578
Additional information about fees paid to insurance broker	SERVICE FEES
Insurance broker organization code?	3

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

235454

Policy instance

Insurance contract or identification number	235454
Number of Individuals Covered	18
Insurance policy start date	2021-11-01
Insurance policy end date	2022-10-31
Total amount of commissions paid to insurance broker	USD $1,094
Total amount of fees paid to insurance company	USD $111
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	CRITICAL ILLNESS,ACCIDENT
Welfare Benefit Premiums Paid to Carrier	USD $5,939
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $909
Amount paid for insurance broker fees	56
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Employer identification number (EIN):	462843588
NAIC Classification:	111100
NAIC Description:	Oilseed and Grain Farming