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EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 401k Plan overview

Plan NameEDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN
Plan identification number 501

EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

EDS SERVICE SOLUTIONS, LLC. has sponsored the creation of one or more 401k plans.

Company Name:EDS SERVICE SOLUTIONS, LLC.
Employer identification number (EIN):471900711
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01GABRIELA RADER2023-07-19
5012021-01-01GABRIELA RADER2022-07-19
5012020-01-01GABRIELA RADER2021-08-05
5012019-01-01GABRIELA RADER2020-10-02
5012018-01-01
5012017-01-01

Plan Statistics for EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN

401k plan membership statisitcs for EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN

Measure Date Value
2022: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0130
Total number of active participants reported on line 7a of the Form 55002022-01-0150
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0150
Number of employers contributing to the scheme2022-01-010
2021: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0119
Total number of active participants reported on line 7a of the Form 55002021-01-0133
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0133
Number of employers contributing to the scheme2021-01-010
2020: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01109
Total number of active participants reported on line 7a of the Form 55002020-01-0119
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0119
Number of employers contributing to the scheme2020-01-010
2019: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01120
Total number of active participants reported on line 7a of the Form 55002019-01-01124
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01124
Number of employers contributing to the scheme2019-01-010
2018: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01110
Total number of active participants reported on line 7a of the Form 55002018-01-0194
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0194
Number of employers contributing to the scheme2018-01-010
2017: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01101
Total number of active participants reported on line 7a of the Form 55002017-01-01102
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01102

Form 5500 Responses for EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN

2022: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: EDS SERVICE SOLUTIONS, INC SAN FRANCISCO MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Submission has been amendedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CHINESE COMMUNITY HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberS12341/2*K000
Policy instance 1
Insurance contract or identification numberS12341/2*K000
Number of Individuals Covered124
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $40,217
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $618,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,217
Amount paid for insurance broker fees0
Insurance broker organization code?3
SUTTER HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 15107 )
Policy contract number197918
Policy instance 1
Insurance contract or identification number197918
Number of Individuals Covered94
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $29,295
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $591,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,363
Amount paid for insurance broker fees0
Insurance broker organization code?3
SUTTER HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 15107 )
Policy contract number197918
Policy instance 1
Insurance contract or identification number197918
Number of Individuals Covered102
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $29,563
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $591,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,563
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameHUB INTERNATIONAL

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