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CAM INTEGRATED SOLUTIONS HEALTH & WELFARE PLAN 401k Plan overview

Plan NameCAM INTEGRATED SOLUTIONS HEALTH & WELFARE PLAN
Plan identification number 501

CAM INTEGRATED SOLUTIONS HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

CAM INTEGRATED SOLUTIONS, LLC has sponsored the creation of one or more 401k plans.

Company Name:CAM INTEGRATED SOLUTIONS, LLC
Employer identification number (EIN):475212503
NAIC Classification:541330
NAIC Description:Engineering Services

Additional information about CAM INTEGRATED SOLUTIONS, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2015-09-30
Company Identification Number: 0802303701
Legal Registered Office Address: 17000 KATY FWY STE 200

HOUSTON
United States of America (USA)
77094

More information about CAM INTEGRATED SOLUTIONS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAM INTEGRATED SOLUTIONS HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01HOLLY ARNIM2023-10-10
5012021-01-01HOLLY ARNIM2022-09-16

Plan Statistics for CAM INTEGRATED SOLUTIONS HEALTH & WELFARE PLAN

401k plan membership statisitcs for CAM INTEGRATED SOLUTIONS HEALTH & WELFARE PLAN

Measure Date Value
2022: CAM INTEGRATED SOLUTIONS HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01165
Total number of active participants reported on line 7a of the Form 55002022-01-01160
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01162
Number of employers contributing to the scheme2022-01-010
2021: CAM INTEGRATED SOLUTIONS HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01127
Total number of active participants reported on line 7a of the Form 55002021-01-01163
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01166
Number of employers contributing to the scheme2021-01-010

Form 5500 Responses for CAM INTEGRATED SOLUTIONS HEALTH & WELFARE PLAN

2022: CAM INTEGRATED SOLUTIONS HEALTH & WELFARE 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: CAM INTEGRATED SOLUTIONS HEALTH & WELFARE 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberG000044084
Policy instance 1
Insurance contract or identification numberG000044084
Number of Individuals Covered160
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0C2MW
Policy instance 2
Insurance contract or identification numberGLUG0C2MW
Number of Individuals Covered255
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $47,099
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM,ACCIDENTAL DEATH AND DISMEMBERMENT,CRITICAL ILLNESS,ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $355,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,452
Amount paid for insurance broker fees0
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number278429
Policy instance 1
Insurance contract or identification number278429
Number of Individuals Covered374
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $63,915
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,640,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $63,915
Amount paid for insurance broker fees0
Insurance broker organization code?3

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