401k Plan data: RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN plan

RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN 401k Plan overview

Plan Name	RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN
Plan identification number	501

RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

RADIOLOGY IMAGING ASSOCIATES LLC has sponsored the creation of one or more 401k plans.

Company Name: RADIOLOGY IMAGING ASSOCIATES LLC

Employer identification number (EIN): 471857408

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-04-01 SCOTT MELCHER
501 2015-04-29 JOSEPH FINIZIO

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2016-04-01	SCOTT MELCHER
501	2015-04-29	JOSEPH FINIZIO

Plan Statistics for RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN

401k plan membership statisitcs for RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN

Measure Date Value
2016: RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-04-01 131
Total number of active participants reported on line 7a of the Form 5500 2016-04-01 0
Number of retired or separated participants receiving benefits 2016-04-01 0
Number of other retired or separated participants entitled to future benefits 2016-04-01 0
Total of all active and inactive participants 2016-04-01 0
2015: RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-04-29 130
Total number of active participants reported on line 7a of the Form 5500 2015-04-29 127
Number of retired or separated participants receiving benefits 2015-04-29 0
Number of other retired or separated participants entitled to future benefits 2015-04-29 0
Total of all active and inactive participants 2015-04-29 127

Measure	Date	Value
2016: RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-04-01	131
Total number of active participants reported on line 7a of the Form 5500	2016-04-01	0
Number of retired or separated participants receiving benefits	2016-04-01	0
Number of other retired or separated participants entitled to future benefits	2016-04-01	0
Total of all active and inactive participants	2016-04-01	0
2015: RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-04-29	130
Total number of active participants reported on line 7a of the Form 5500	2015-04-29	127
Number of retired or separated participants receiving benefits	2015-04-29	0
Number of other retired or separated participants entitled to future benefits	2015-04-29	0
Total of all active and inactive participants	2015-04-29	127

Form 5500 Responses for RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN

2016: RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN 2016 form 5500 responses
2016-04-01	Type of plan entity	Single employer plan
2016-04-01	Submission has been amended	No
2016-04-01	This submission is the final filing	Yes
2016-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-04-01	Plan is a collectively bargained plan	No
2016-04-01	Plan funding arrangement – Insurance	Yes
2016-04-01	Plan benefit arrangement – Insurance	Yes
2015: RADIOLOGY IMAGING ASSOCIATES LLC LIFE & DISABILITY PLAN 2015 form 5500 responses
2015-04-29	Type of plan entity	Single employer plan
2015-04-29	First time form 5500 has been submitted	Yes
2015-04-29	Submission has been amended	No
2015-04-29	This submission is the final filing	No
2015-04-29	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-04-29	Plan is a collectively bargained plan	No
2015-04-29	Plan funding arrangement – Insurance	Yes
2015-04-29	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

01-016404-00

Policy instance

Insurance contract or identification number	01-016404-00
Number of Individuals Covered	127
Insurance policy start date	2015-04-29
Insurance policy end date	2016-03-31
Total amount of commissions paid to insurance broker	USD $13,951
Total amount of fees paid to insurance company	USD $6,212
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
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
Other welfare benefits provided	AD&D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $139,497
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,786
Insurance broker organization code?	3
Amount paid for insurance broker fees	6212
Additional information about fees paid to insurance broker	GROUP VOLUME BONUS
Insurance broker name	ISI OF MARYLAND LLC

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Company Name:	RADIOLOGY IMAGING ASSOCIATES LLC
Employer identification number (EIN):	471857408
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners